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NPI 1932480472

NPI 1932480472 : LIVING WELL CENTER, PLLC : HENDERSONVILLE, TN

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General NPI Number Information
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    NPI Number           |    1932480472
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIVING WELL CENTER, PLLC 
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Dates
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    Enumeration Date     |    08/29/2011
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    Last Update Date     |    06/23/2020
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Provider Practice Location Address
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    Address Line         |    129 HAVEN ST STE C2 
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    City                 |    HENDERSONVILLE
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    State                |    TN
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    Zip                  |    37075-7800
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    Country              |    US
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    Telephone            |    615-859-0575
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    Fax                  |    615-859-0576
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Provider Business Mailing Address
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    Address Line         |    105 IMPERIAL BLVD # 1089 
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    City                 |    HENDERSONVILLE
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    State                |    TN
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    Zip                  |    37075-7404
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    Country              |    US
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    Telephone            |    615-859-0575
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    Fax                  |    615-859-0576
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Authorized Official
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    Title or Position    |    PSYCHIATRIST
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    Name                 |    DR. KAREN T BRIGGS 
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    Credential           |    M.D.
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    Telephone            |    615-859-0575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    27320
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    License Number State |    TN
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