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General NPI Number Information
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NPI Number | 1184487043
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Entity Type | Organization
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Legal Business Name | BETHANY HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 926 N WASHINGTON AVE
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City | BROWNSVILLE
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State | TN
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Zip | 38012-2034
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Country | US
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Telephone | 731-217-3378
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Fax |
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Provider Business Mailing Address
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Address Line | 624 MARGIN ST
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City | BROWNSVILLE
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State | TN
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Zip | 38012-3007
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Country | US
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Telephone | 731-217-3378
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHERRY JEAN MILLER
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Credential | CEO
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Telephone | 731-217-3378
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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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