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General NPI Number Information
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NPI Number | 1881122653
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Entity Type | Organization
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Legal Business Name | DIVERSIFIED OPPORTUNITIES, LLC
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1579 SAUNDERSVILLE FERRY RD
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City | MOUNT JULIET
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State | TN
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Zip | 37122-2062
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Country | US
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Telephone | 615-559-3768
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Fax |
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Provider Business Mailing Address
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Address Line | 1579 SAUNDERSVILLE FERRY RD
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City | MOUNT JULIET
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State | TN
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Zip | 37122-2062
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Country | US
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Telephone | 615-559-3768
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SUSAN M FARMER
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Credential | J.D.
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Telephone | 615-559-3768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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