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General NPI Number Information
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NPI Number | 1992198600
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Entity Type | Organization
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Legal Business Name | LEARNING LAB OF GREEN HILLS
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 3815 CLEGHORN AVE
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City | NASHVILLE
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State | TN
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Zip | 37215-2531
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Country | US
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Telephone | 615-321-7272
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 150567
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City | NASHVILLE
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State | TN
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Zip | 37215-0567
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Country | US
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Telephone | 615-333-9500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONALD SOHR
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Credential |
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Telephone | 615-333-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 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 #5
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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 #6
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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