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General NPI Number Information
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NPI Number | 1073635892
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Entity Type | Organization
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Legal Business Name | HOMEPLACE, INC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1318 ACKLEN AVE
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City | NASHVILLE
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State | TN
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Zip | 37212-3913
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Country | US
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Telephone | 615-596-6346
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 120966
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City | NASHVILLE
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State | TN
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Zip | 37212-0966
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Country | US
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Telephone | 615-596-6346
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Fax |
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Authorized Official
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Title or Position | BOARD CHAIR
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Name | MR. NED HENRY
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Credential |
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Telephone | 615-385-2332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | L 3(20)M2-066-3461
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License Number State | TN
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