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General NPI Number Information
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NPI Number | 1447541669
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Entity Type | Organization
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Legal Business Name | TENNESSEE HOMECARE ALLIANCE LLC
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Dates
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Enumeration Date | 04/21/2011
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 101 NORTHSIDE CIR SUITE B
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City | SHELBYVILLE
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State | TN
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Zip | 37160-2375
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Country | US
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Telephone | 931-680-9648
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Fax | 931-246-7517
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Provider Business Mailing Address
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Address Line | 101 NORTHSIDE CIR SUITE B
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City | SHELBYVILLE
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State | TN
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Zip | 37160-2375
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Country | US
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Telephone | 931-680-9648
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Fax | 931-246-7517
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Authorized Official
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Title or Position | ADMINISTRATOR / OWNER
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Name | MR. WILLIAM VANDERPOOL HILLEARY
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Credential |
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Telephone | 931-680-9648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | APPLIED FOR IN TN
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License Number State | TN
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