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General NPI Number Information
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NPI Number | 1407807688
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Entity Type | Organization
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Legal Business Name | TNMO HEALTHCARE, LLC
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 2525 PERIMETER PLACE DR STE 105
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City | NASHVILLE
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State | TN
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Zip | 37214-3674
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Country | US
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Telephone | 615-889-5995
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Fax | 615-889-5950
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Provider Business Mailing Address
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Address Line | PO BOX 4060
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City | MOORESVILLE
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State | NC
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Zip | 28117-4060
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Country | US
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Telephone | 704-664-2876
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Fax |
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Authorized Official
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Title or Position | VP LICENSURE
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Name | JANET COMBS
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Credential |
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Telephone | 913-814-2013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 00000369
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License Number State | TN
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