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General NPI Number Information
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NPI Number | 1801906847
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Entity Type | Organization
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Legal Business Name | TEN LAKES CENTER, LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 819 N 1ST ST
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City | DENNISON
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State | OH
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Zip | 44621-1003
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Country | US
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Telephone | 615-463-1458
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Fax | 615-463-3203
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Provider Business Mailing Address
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Address Line | 6100 TOWER CIR STE 1000
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City | FRANKLIN
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State | TN
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Zip | 37067-1509
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Country | US
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Telephone | 615-861-7581
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Fax |
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Authorized Official
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Title or Position | VP & TREASURER
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Name | CHRISTOPHER HOWARD
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Credential |
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Telephone | 615-861-1000
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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 | PENDING
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License Number State | OH
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