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General NPI Number Information
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NPI Number | 1760521256
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Entity Type | Organization
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Legal Business Name | OMNI VISIONS, INC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 50 DIRECTORS ROW
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City | JACKSON
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State | TN
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Zip | 38305
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Country | US
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Telephone | 731-668-0062
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Fax | 731-668-0084
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Provider Business Mailing Address
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Address Line | 301 S. PERIMETER PARK DR. SUITE 210
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City | NASHVILLE
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State | TN
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Zip | 37211
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Country | US
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Telephone | 615-726-3603
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Fax | 615-726-3632
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERIC SCOTT STRICKLAND
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Credential |
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Telephone | 615-726-3603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | SO 09985A
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | PSS0000000064
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | L000000007898
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License Number State | TN
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