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General NPI Number Information
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NPI Number | 1508257080
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Entity Type | Organization
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Legal Business Name | COMPLETE HOME CARE SERVICES OF TENNESSEE
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Dates
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Enumeration Date | 02/05/2015
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 2504 CAYER LN STE D
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City | COLUMBIA
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State | TN
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Zip | 38401-7384
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Country | US
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Telephone | 931-451-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 2504 CAYER LN STE D
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City | COLUMBIA
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State | TN
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Zip | 38401-7384
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Country | US
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Telephone | 931-451-7777
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CONSUELA ODEN
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Credential |
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Telephone | 615-969-0551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 50263
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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