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General NPI Number Information
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NPI Number | 1760547897
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Entity Type | Organization
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Legal Business Name | FOOTHILLS CARE, INC.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 663 EMORY VALLEY RD
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City | OAK RIDGE
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State | TN
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Zip | 37830-7762
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Country | US
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Telephone | 865-483-9111
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Fax | 865-483-9102
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Provider Business Mailing Address
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Address Line | 663 EMORY VALLEY RD
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City | OAK RIDGE
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State | TN
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Zip | 37830-7762
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Country | US
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Telephone | 865-483-9111
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Fax | 865-483-9102
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES PEDIGO
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Credential |
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Telephone | 865-483-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L 214-026-1223
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | L 214-026-1223
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | L 214-026-1223
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | L 214-026-1223
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | L 214-026-1223
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License Number State | TN
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