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General NPI Number Information
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NPI Number | 1528154259
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Entity Type | Organization
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Legal Business Name | CONTINUCARE HEALTHSERVICES, INC. - HME EAST
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1651 GUNBARREL ROAD SUITE 101-B
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City | CHATTANOOGA
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State | TN
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Zip | 37421
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Country | US
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Telephone | 423-826-0380
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Fax | 423-826-0376
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Provider Business Mailing Address
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Address Line | 1501 RIVERSIDE DRIVE SUITE 350
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City | CHATTANOOGA
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State | TN
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Zip | 37406
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Country | US
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Telephone | 423-624-8281
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Fax | 423-624-0133
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DENISE D RAY
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Credential | RN
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Telephone | 423-624-8281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 0000003054
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License Number State | TN
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