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General NPI Number Information
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NPI Number | 1467910992
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Entity Type | Organization
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Legal Business Name | MILESTONE HOME HEALTHCARE SERVICES
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 03/04/2019
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Provider Practice Location Address
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Address Line | 1037 JEFFERSON ST STE G
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City | NASHVILLE
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State | TN
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Zip | 37208-2554
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Country | US
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Telephone | 615-710-2042
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Fax |
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Provider Business Mailing Address
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Address Line | 3808 DAHLGREEN CT
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City | ANTIOCH
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State | TN
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Zip | 37013-4673
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Country | US
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Telephone | 615-525-7387
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. RITA JAKPOR
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Credential |
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Telephone | 615-525-7387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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