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General NPI Number Information
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NPI Number | 1356652507
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Entity Type | Organization
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Legal Business Name | A PEACE OF MIND HOME CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 3155 HICKORY HILL RD STE 106 B
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City | MEMPHIS
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State | TN
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Zip | 38115-2555
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Country | US
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Telephone | 901-462-3172
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Fax | 866-759-0806
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Provider Business Mailing Address
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Address Line | 3155 HICKORY HILL RD STE 106 B
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City | MEMPHIS
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State | TN
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Zip | 38115-2555
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Country | US
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Telephone | 901-462-3172
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Fax | 866-759-0806
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICER
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Name | MERKITA KIMBLE
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Credential |
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Telephone | 901-462-3172
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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 |
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License Number State | TN
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