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General NPI Number Information
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NPI Number | 1265951834
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Entity Type | Organization
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Legal Business Name | TRUCARE NURSING SERVICE LLC
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2899 ATTALA ROAD 3022
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City | KOSCIUSKO
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State | MS
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Zip | 39090-5038
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Country | US
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Telephone | 662-582-6546
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Fax |
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Provider Business Mailing Address
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Address Line | 2899 ATTALA ROAD 3022
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City | KOSCIUSKO
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State | MS
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Zip | 39090-5038
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Country | US
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Telephone | 662-582-6546
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHEILA JONES
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Credential |
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Telephone | 662-582-6546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | MS
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