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General NPI Number Information
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NPI Number | 1326580507
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Entity Type | Organization
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Legal Business Name | GREAT CARE HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 11/05/2016
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Last Update Date | 11/05/2016
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Provider Practice Location Address
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Address Line | 241 NORTHCREST COMMONS CIR
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City | NASHVILLE
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State | TN
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Zip | 37211-5464
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Country | US
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Telephone | 615-715-8403
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Fax | 615-312-0233
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Provider Business Mailing Address
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Address Line | 241 NORTHCREST COMMONS CIR
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City | NASHVILLE
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State | TN
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Zip | 37211-5464
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Country | US
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Telephone | 615-715-8403
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Fax | 615-312-0233
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BRENDA MUKANDERA GATES
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Credential | LPN
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Telephone | 615-715-8403
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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 | 1000000019173
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License Number State | TN
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