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General NPI Number Information
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NPI Number | 1477915999
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Entity Type | Organization
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Legal Business Name | ABC HEALTH
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 03/25/2016
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Provider Practice Location Address
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Address Line | 7894 WINCHESTER RD STE 500
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City | MEMPHIS
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State | TN
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Zip | 38125-2398
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Country | US
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Telephone | 404-345-3135
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Fax | 770-234-3890
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Provider Business Mailing Address
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Address Line | 2075 ANDERSON DR SE
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City | SMYRNA
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State | GA
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Zip | 30080-5809
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Country | US
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Telephone | 404-345-3135
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Fax | 770-234-3890
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHERYL UPSHAW
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Credential | RN
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Telephone | 404-345-3135
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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 | 66139
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License Number State | TN
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