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General NPI Number Information
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NPI Number | 1881784312
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Entity Type | Organization
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Legal Business Name | BOWLING GREEN INN OF PENSACOLA, LLC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 2068 HEALTH CARE AVE
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City | NAVARRE
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State | FL
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Zip | 32566-2901
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Country | US
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Telephone | 850-939-1200
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Fax | 850-939-1257
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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 | 615-861-6000
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Fax |
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Authorized Official
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Title or Position | VP & SECRETARY
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Name | BRIAN P FARLEY
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 0157AD552301
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License Number State | FL
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