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General NPI Number Information
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NPI Number | 1235866294
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Entity Type | Organization
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Legal Business Name | MAJESTI IN HOME HEALTHARE AGENCY,LLC
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 2874 SHELBY ST STE 200
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City | BARTLETT
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State | TN
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Zip | 38134-4558
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Country | US
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Telephone | 901-425-3744
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Fax | 901-425-3739
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Provider Business Mailing Address
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Address Line | 135 DONNA LYN DR
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City | OAKLAND
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State | TN
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Zip | 38060-4608
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Country | US
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Telephone | 901-314-8420
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Fax | 901-425-3739
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TAMMIE ROCHELLE BENTON-MYERS
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Credential |
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Telephone | 901-425-3744
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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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