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General NPI Number Information
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NPI Number | 1942502273
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Entity Type | Organization
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Legal Business Name | ALCOHOL AND DRUG COUNCIL OF MIDDLE TENNESSEE
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Dates
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Enumeration Date | 11/18/2010
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 1704 CHARLOTTE AVE SUITE 200
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City | NASHVILLE
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State | TN
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Zip | 37203-2972
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Country | US
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Telephone | 615-269-0029
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Fax | 615-269-0299
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Provider Business Mailing Address
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Address Line | PO BOX 330189
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City | NASHVILLE
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State | TN
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Zip | 37203-7501
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Country | US
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Telephone | 615-269-0029
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Fax | 615-269-0299
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. THOMAS TRANTUM
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Credential |
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Telephone | 615-269-0029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1000000005850
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License Number State | TN
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