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General NPI Number Information
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NPI Number | 1801682299
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Entity Type | Organization
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Legal Business Name | SBH-KINGSPORT
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 6725 PAPERMILL DR
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City | KNOXVILLE
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State | TN
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Zip | 37919-4837
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Country | US
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Telephone | 888-699-6290
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 EXECUTIVE PARK BLVD
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City | KINGSPORT
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State | TN
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Zip | 37660-4620
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Country | US
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Telephone | 888-699-6290
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Fax |
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | PAUL GILBERT
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Credential |
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Telephone | 615-545-5519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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