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General NPI Number Information
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NPI Number | 1477096519
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Entity Type | Organization
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Legal Business Name | PASSION HOME CARE, LLC
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | 2005 QUAIL RIDGE DR
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City | NASHVILLE
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State | TN
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Zip | 37207-1057
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Country | US
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Telephone | 615-336-6571
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70083
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City | NASHVILLE
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State | TN
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Zip | 37207-0083
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Country | US
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Telephone | 615-336-6571
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEQUILA BROOKS
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Credential |
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Telephone | 615-336-6571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 1000000019142
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License Number State | TN
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