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General NPI Number Information
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NPI Number | 1962176875
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Entity Type | Organization
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Legal Business Name | SELAH NASHVILLE, LLC
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 2900 VANDERBILT PL STE 200A
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City | NASHVILLE
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State | TN
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Zip | 37212-2518
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Country | US
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Telephone | 615-647-5807
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Fax |
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Provider Business Mailing Address
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Address Line | MSC #8281, PO BOX 415000
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City | NASHVILLE
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State | TN
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Zip | 37241-8281
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Country | US
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Telephone | 615-647-5807
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SCOTT SARNACKE
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Credential |
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Telephone | 615-864-8145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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