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General NPI Number Information
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NPI Number | 1174916308
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Entity Type | Organization
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Legal Business Name | FORSENIORHELP LLC
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 6699 FLETCHER CREEK CV STE 101-B
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City | MEMPHIS
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State | TN
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Zip | 38133-7055
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Country | US
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Telephone | 901-808-0004
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Fax |
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Provider Business Mailing Address
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Address Line | 4023 BRUNSWICK RD
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City | BARTLETT
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State | TN
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Zip | 38133-2135
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Country | US
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Telephone | 901-736-3035
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL T JONES
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Credential |
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Telephone | 901-736-3035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | TN
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