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General NPI Number Information
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NPI Number | 1396391082
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Entity Type | Organization
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Legal Business Name | GUY CARE SERVICE
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Dates
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Enumeration Date | 08/17/2019
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Last Update Date | 08/17/2019
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Provider Practice Location Address
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Address Line | 548 CEDARMONT DR
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City | ANTIOCH
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State | TN
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Zip | 37013-4428
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Country | US
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Telephone | 615-928-8280
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Fax | 615-679-0873
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Provider Business Mailing Address
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Address Line | 548 CEDARMONT DR
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City | ANTIOCH
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State | TN
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Zip | 37013-4428
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Country | US
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Telephone | 615-928-8280
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Fax | 615-679-0873
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DANETT VERONICA GUY
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Credential | RN
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Telephone | 914-589-2568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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