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General NPI Number Information
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NPI Number | 1760887228
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Entity Type | Organization
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Legal Business Name | FRANKLIN FAMILY PSYCHIATRIC CARE
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 2011 ASHWOOD AVE
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City | NASHVILLE
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State | TN
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Zip | 37212-5015
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Country | US
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Telephone | 615-383-4694
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Fax | 615-383-0228
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Provider Business Mailing Address
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Address Line | 835 PINTAIL CT
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City | FRANKLIN
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State | TN
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Zip | 37067-4464
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Country | US
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Telephone | 615-495-5020
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Fax | 615-383-0228
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LAWRENCE WESLEY LAUTERBACH
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Credential | ANP
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Telephone | 615-495-5020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN0000016552
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License Number State | TN
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