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General NPI Number Information
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NPI Number | 1184313058
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Entity Type | Organization
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Legal Business Name | NERCHER OLDER ADULT COMMUNITY RESOURCE
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 1661 INTERNATIONAL DR STE 400
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City | MEMPHIS
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State | TN
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Zip | 38120-1431
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Country | US
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Telephone | 901-297-6579
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 351
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City | BRUNSWICK
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State | TN
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Zip | 38014-0351
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Country | US
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Telephone | 901-297-6579
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARIE ROBINSON
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Credential | MSW, CDP
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Telephone | 901-297-6579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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