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General NPI Number Information
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NPI Number | 1972120426
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Entity Type | Organization
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Legal Business Name | JOYBRIDGE LLC
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 1018 GATEWAY LN
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City | NASHVILLE
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State | TN
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Zip | 37220-1006
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Country | US
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Telephone | 615-585-4824
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Fax |
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Provider Business Mailing Address
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Address Line | 5203 MARYLAND WAY STE 104
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City | BRENTWOOD
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State | TN
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Zip | 37027-5022
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Country | US
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Telephone | 615-560-6622
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Fax | 615-560-6636
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JESSE ROGERS CLAYTON
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Credential |
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Telephone | 615-585-4824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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