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General NPI Number Information
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NPI Number | 1295169910
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Entity Type | Organization
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Legal Business Name | @ HOME OF CENTRAL TENNESSEE
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 5205 MARYLAND WAY SUITE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027-1006
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Country | US
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Telephone | 615-891-4792
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Fax | 615-891-4831
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Provider Business Mailing Address
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Address Line | 5205 MARYLAND WAY SUITE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027
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Country | US
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Telephone | 615-891-4792
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Fax | 615-891-4831
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Authorized Official
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Title or Position | PARTNER
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Name | MR. STEPHEN E MILA
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Credential |
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Telephone | 615-891-4792
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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 | L000000009175
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License Number State | TN
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