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General NPI Number Information
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NPI Number | 1194268375
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Entity Type | Organization
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Legal Business Name | A PLACE CALLED HOME
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 25 HENDERSON DR
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City | MC KENZIE
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State | TN
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Zip | 38201-2033
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Country | US
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Telephone | 731-393-0136
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Fax | 731-393-0158
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Provider Business Mailing Address
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Address Line | 25 HENDERSON DR
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City | MC KENZIE
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State | TN
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Zip | 38201-2033
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Country | US
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Telephone | 731-393-0136
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Fax | 731-393-0158
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Authorized Official
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Title or Position | OWNER
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Name | LEE ANNE LOWRANCE
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Credential | MMS
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Telephone | 731-393-0136
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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 | L000000014435
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License Number State | TN
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