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General NPI Number Information
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NPI Number | 1225669120
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Entity Type | Organization
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Legal Business Name | TRUE ESSENTIAL SERVICE, LLC
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Dates
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Enumeration Date | 01/29/2020
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 112 MADISON AVENUE
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City | GRAY
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State | GA
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Zip | 31032
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Country | US
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Telephone | 478-221-3434
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Fax | 478-221-3094
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Provider Business Mailing Address
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Address Line | PO BOX 1381
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City | GRAY
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State | GA
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Zip | 31032-1381
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Country | US
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Telephone | 478-221-3434
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Fax | 478-221-3094
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVIE D. BROWN
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Credential |
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Telephone | 478-221-3434
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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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