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General NPI Number Information
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NPI Number | 1306400650
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Entity Type | Organization
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Legal Business Name | UNIVERSAL CARE LLC
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 2213 MURFREESBORO PIKE
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City | NASHVILLE
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State | TN
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Zip | 37217-3312
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Country | US
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Telephone | 615-457-2458
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Fax | 615-250-6283
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Provider Business Mailing Address
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Address Line | 2213 MURFREESBORO PIKE
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City | NASHVILLE
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State | TN
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Zip | 37217-3312
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Country | US
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Telephone | 615-457-2458
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Fax | 615-250-6283
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Authorized Official
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Title or Position | CEO
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Name | MR. TREVOR JONGA
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Credential | MBA
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Telephone | 615-457-2458
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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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