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General NPI Number Information
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NPI Number | 1083157101
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Entity Type | Organization
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Legal Business Name | WHEMAX
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | 1821 14TH AVENUE NORTH
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City | NASHVILLE
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State | TN
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Zip | 37208
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Country | US
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Telephone | 615-366-3152
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Fax |
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Provider Business Mailing Address
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Address Line | 1814 14TH AVENUE NORTH
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City | NASHVILLE
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State | TN
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Zip | 37208
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Country | US
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Telephone | 615-400-3553
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MANSON E WHEGBERE
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Credential |
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Telephone | 615-710-6248
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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 | 1000000019159
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License Number State | TN
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