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General NPI Number Information
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NPI Number | 1699107136
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Entity Type | Organization
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Legal Business Name | FOREVER YOUNG ADULT DAY CENTER
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | 213 W MAPLEWOOD LN SUITE 100
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City | NASHVILLE
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State | TN
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Zip | 37207-2986
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Country | US
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Telephone | 615-738-1634
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Fax |
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Provider Business Mailing Address
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Address Line | 213 W MAPLEWOOD LN SUITE 100
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City | NASHVILLE
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State | TN
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Zip | 37207-2986
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Country | US
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Telephone | 615-738-1634
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MELANIE J MORGAN
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Credential |
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Telephone | 615-738-1634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | A224A
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License Number State | TN
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