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General NPI Number Information
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NPI Number | 1073897690
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Entity Type | Organization
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Legal Business Name | ALBERT ROSS THARPE SERVICES, LLC
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 105 N FENTRESS ST
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City | PARIS
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State | TN
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Zip | 38242-4001
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Country | US
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Telephone | 731-644-3344
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Fax | 731-644-3034
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Provider Business Mailing Address
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Address Line | PO BOX 1017
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City | PARIS
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State | TN
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Zip | 38242-1017
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Country | US
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Telephone | 731-644-3344
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Fax | 731-644-3034
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Authorized Official
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Title or Position | PROPRIETOR/CEO
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Name | MRS. BARBARA ANN GRAY
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Credential | CEO, BS, MSW, ACSW
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Telephone | 731-644-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | L000000003965
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License Number State | TN
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