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General NPI Number Information
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NPI Number | 1093295040
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Entity Type | Organization
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Legal Business Name | ABILISHEALTH MARTIN, LLC
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 135 KENNEDY DR
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City | MARTIN
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State | TN
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Zip | 38237-3309
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Country | US
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Telephone | 731-587-2996
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Fax | 731-587-3228
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Provider Business Mailing Address
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Address Line | 750 OLD HICKORY BLVD STE 2-270
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City | BRENTWOOD
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State | TN
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Zip | 37027-4528
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Country | US
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Telephone | 615-781-0666
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Fax | 615-891-4567
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MARGARET S PEMBERTON
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Credential |
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Telephone | 502-272-3466
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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 | 276
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License Number State | TN
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