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General NPI Number Information
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NPI Number | 1356760177
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Entity Type | Individual
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Provider Name | JOVAN RASHAAD SMITH NURSES AIDE
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Gender | Male
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 1079 ZOPHI ST
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City | NASHVILLE
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State | TN
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Zip | 37216-3031
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Country | US
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Telephone | 615-857-2527
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Fax | 858-997-1244
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Provider Business Mailing Address
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Address Line | 1079 ZOPHI ST
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City | NASHVILLE
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State | TN
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Zip | 37216-3031
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Country | US
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Telephone | 901-247-3704
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Fax | 859-997-1244
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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