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General NPI Number Information
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NPI Number | 1174654743
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Entity Type | Organization
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Legal Business Name | BAPTIST MEMORIAL HOME CARE INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 6141 WALNUT GROVE RD
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City | MEMPHIS
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State | TN
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Zip | 38120-2179
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Country | US
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Telephone | 901-767-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 6141 WALNUT GROVE RD
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City | MEMPHIS
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State | TN
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Zip | 38120-2179
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Country | US
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Telephone | 901-767-6767
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Fax |
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Authorized Official
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Title or Position | SR VP/ CLO
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Name | GREGORY DUCKETT
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Credential |
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Telephone | 901-227-5233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 0000000354
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | L4380866324
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 0000000242
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License Number State | TN
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