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General NPI Number Information
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NPI Number | 1346583671
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Entity Type | Organization
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Legal Business Name | TENNESSEE CARE SOLUTIONS, INC.
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 2805 FOSTER AVE SUITE 203
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City | NASHVILLE
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State | TN
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Zip | 37210-5341
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Country | US
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Telephone | 615-942-8365
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Fax | 615-942-8561
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Provider Business Mailing Address
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Address Line | 2805 FOSTER AVE SUITE 203
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City | NASHVILLE
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State | TN
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Zip | 37210-5341
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Country | US
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Telephone | 615-942-8365
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Fax | 615-942-8561
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Authorized Official
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Title or Position | DIRECTOR, OPERATIONS
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Name | DANIEL ALBERT EDEIGBA
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Credential |
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Telephone | 615-942-8365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 1000000012391
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 1000000012391
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License Number State | TN
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