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General NPI Number Information
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NPI Number | 1932987724
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Entity Type | Organization
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Legal Business Name | ANOTHER WAY MEDICAL SERVICES, PA
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Dates
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Enumeration Date | 09/21/2023
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 1616 WESTGATE CIR STE 317
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City | BRENTWOOD
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State | TN
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Zip | 37027-8019
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Country | US
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Telephone | 228-800-5840
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 WESTGATE CIR STE 317
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City | BRENTWOOD
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State | TN
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Zip | 37027-8019
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Country | US
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Telephone | 615-600-0800
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. GREG BOLAN
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Credential |
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Telephone | 615-660-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 |
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License Number State |
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