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General NPI Number Information
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NPI Number | 1225008675
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Entity Type | Organization
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Legal Business Name | ASHLAND DEVELOPMENT INCORPORATED
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 2315 SILVERDALE DR
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City | JOHNSON CITY
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State | TN
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Zip | 37601-2162
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Country | US
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Telephone | 423-434-5130
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Fax | 423-434-5149
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Provider Business Mailing Address
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Address Line | 14805 FOREST RD STE 205
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City | FOREST
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State | VA
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Zip | 24551-5019
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Country | US
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Telephone | 423-434-5130
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Fax | 423-434-5149
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAYSON NORRIS
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Credential |
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Telephone | 434-810-0072
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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 | 0000000087
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License Number State | TN
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