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General NPI Number Information
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NPI Number | 1932417383
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Entity Type | Organization
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Legal Business Name | AMERICAN BEHAVIORAL CONSULTANTS
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 1432 W MAIN ST STE 700
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City | LEBANON
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State | TN
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Zip | 37087-1397
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Country | US
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Telephone | 615-444-1880
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Fax | 614-444-7411
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Provider Business Mailing Address
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Address Line | 1432 W MAIN ST STE 700
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City | LEBANON
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State | TN
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Zip | 37087-1397
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Country | US
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Telephone | 615-444-1880
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Fax | 614-444-7411
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Authorized Official
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Title or Position | MEMBER
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Name | CYNTHIA KAY RECTOR
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Credential | MD
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Telephone | 615-444-1880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 24725
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License Number State | TN
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