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General NPI Number Information
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NPI Number | 1093071953
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Entity Type | Organization
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Legal Business Name | ADULT DAY SERVICES
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 1545 MAYNARDVILLE HWY
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City | MAYNARDVILLE
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State | TN
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Zip | 37807-2841
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Country | US
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Telephone | 865-745-1626
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Fax |
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Provider Business Mailing Address
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Address Line | 1545 MAYNARDVILLE HWY
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City | MAYNARDVILLE
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State | TN
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Zip | 37807-2841
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Country | US
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Telephone | 865-745-1626
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARGARET K CHESNEY
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Credential |
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Telephone | 865-745-1626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | II-0918T
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License Number State | TN
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