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General NPI Number Information
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NPI Number | 1801126107
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Entity Type | Organization
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Legal Business Name | BRANCHES RECOVERY CENTER
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Dates
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Enumeration Date | 01/08/2010
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1102 DOW ST
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City | MURFREESBORO
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State | TN
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Zip | 37130-2486
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Country | US
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Telephone | 615-904-7170
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Fax | 866-703-0598
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Provider Business Mailing Address
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Address Line | 1102 DOW ST
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City | MURFREESBORO
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State | TN
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Zip | 37130-2486
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Country | US
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Telephone | 615-904-7170
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Fax | 866-703-0598
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOSHUA COURTNEY
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Credential |
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Telephone | 615-904-7170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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