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General NPI Number Information
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NPI Number | 1891291118
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Entity Type | Organization
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Legal Business Name | EFC,LLC
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | 845 W JACKSON ST
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City | COOKEVILLE
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State | TN
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Zip | 38501-5940
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Country | US
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Telephone | 931-273-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 723 W JACKSON ST
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City | COOKEVILLE
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State | TN
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Zip | 38501-3993
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Country | US
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Telephone | 931-520-1977
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BRANDI D LAWSON
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Credential | MBA
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Telephone | 931-273-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 1000000021008
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License Number State | TN
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