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General NPI Number Information
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NPI Number | 1255649745
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Entity Type | Organization
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Legal Business Name | UPSCALEHEALTHCARELLC
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 4646 POPULAR SUITE 422
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City | MEMPHIS
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State | TN
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Zip | 38117
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Country | US
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Telephone | 901-761-1577
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Fax | 901-761-1575
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Provider Business Mailing Address
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Address Line | 4646 POPLAR AVE SUITE 422
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City | MEMPHIS
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State | TN
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Zip | 38117-4426
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Country | US
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Telephone | 901-761-1577
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Fax | 901-761-1577
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Authorized Official
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Title or Position | CEO
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Name | MS. ELBEAUTY BELAY SIMPSON
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Credential |
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Telephone | 901-761-1577
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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 | 10000000005565
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License Number State | TN
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