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NPI 1790647220

NPI 1790647220 : TIGIST BELAYNEH : BRENTWOOD, TN

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General NPI Number Information
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    NPI Number           |    1790647220
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    Entity Type          |    Individual 
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    Provider Name        |    TIGIST BELAYNEH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/02/2025
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    9005 OVERLOOK BLVD 
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-5269
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    Country              |    US
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    Telephone            |    857-576-5191
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    180 WALLACE RD APT D14 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37211-4684
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    Country              |    US
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    Telephone            |    615-282-4490
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    TN
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