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General NPI Number Information
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NPI Number | 1205012119
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Entity Type | Organization
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Legal Business Name | JENNY MINH PHAM LLC DBA HOME HELPERS 58270
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 318 NANCY LYNN LN SUITE #23
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City | KNOXVILLE
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State | TN
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Zip | 37919-6030
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Country | US
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Telephone | 865-212-3585
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Fax | 865-212-9939
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Provider Business Mailing Address
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Address Line | 2020 RIVERSOUND DR
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City | KNOXVILLE
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State | TN
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Zip | 37922-5661
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Country | US
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Telephone | 865-212-3585
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Fax | 865-212-9939
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JENNY MINH PHAM
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Credential |
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Telephone | 865-206-7027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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