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General NPI Number Information
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NPI Number | 1073877940
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS PERSONAL SUPPORT SERVICES
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Dates
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Enumeration Date | 06/26/2012
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Last Update Date | 12/31/2012
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Provider Practice Location Address
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Address Line | 165 E MCFARLIN AVE
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City | HENNING
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State | TN
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Zip | 38041-7541
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Country | US
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Telephone | 901-275-0779
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Fax | 731-738-0505
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Provider Business Mailing Address
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Address Line | 1 EAGLEWOOD CV
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City | COVINGTON
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State | TN
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Zip | 38019-3702
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Country | US
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Telephone | 901-275-0779
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Fax | 731-738-0505
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JEROME MORGAN
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Credential |
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Telephone | 901-275-0779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1000000010970
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License Number State | TN
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