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General NPI Number Information
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NPI Number | 1114294774
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Entity Type | Organization
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Legal Business Name | CARING HEARTS SUPPORTIVE SERVICES
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 2501 MCGAVOCK PIKE SUITE 203
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City | NASHVILLE
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State | TN
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Zip | 37214-1213
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Country | US
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Telephone | 615-481-8791
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Fax |
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Provider Business Mailing Address
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Address Line | 6240 ROCKY TOP DR
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City | ANTIOCH
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State | TN
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Zip | 37013-5658
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Country | US
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Telephone |
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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. ANGELA LADAWN LIGON-MANNING
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Credential |
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Telephone | 615-481-8791
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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 | 1000000009865
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License Number State | TN
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