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General NPI Number Information
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NPI Number | 1942678222
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Entity Type | Organization
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Legal Business Name | BIBLICAL CONCEPTS GROUP HOMES
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 1004 LOUISVILLE HWY
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-1167
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Country | US
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Telephone | 615-643-0157
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9109
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City | GALLATIN
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State | TN
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Zip | 37066-6924
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Country | US
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Telephone |
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Fax | 615-467-8593
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JOSEPH ANTHONY MOORE
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Credential |
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Telephone | 615-975-2977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | L000000016896
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | L000000014895
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License Number State | TN
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