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General NPI Number Information
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NPI Number | 1184380453
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Entity Type | Organization
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Legal Business Name | MASH, LLC
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Dates
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Enumeration Date | 11/11/2021
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 701 BARRETT BLVD
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City | HENDERSON
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State | KY
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Zip | 42420-4242
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Country | US
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Telephone | 270-212-3620
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Fax | 270-936-7346
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Provider Business Mailing Address
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Address Line | P.O. BOX 1888
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City | HENDERSON
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State | KY
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Zip | 42419
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Country | US
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Telephone | 270-212-3620
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Fax | 270-936-7346
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Authorized Official
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Title or Position | OWNER
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Name | LEANN HARGIS
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Credential |
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Telephone | 270-212-3620
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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 |
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License Number State |
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