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General NPI Number Information
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NPI Number | 1316175722
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Entity Type | Organization
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Legal Business Name | LPT ENTERPRISES, INC
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 2409 VOLUNTEER PKWY STE A
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City | BRISTOL
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State | TN
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Zip | 37620-6807
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Country | US
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Telephone | 423-989-7827
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Fax |
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Provider Business Mailing Address
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Address Line | 2409 VOLUNTEER PKWY STE A
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City | BRISTOL
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State | TN
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Zip | 37620-6807
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Country | US
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Telephone | 423-989-7827
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LARRY LYNN BERNETHY
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Credential |
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Telephone | 423-989-7827
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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 | 1000000004753
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License Number State | TN
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