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General NPI Number Information
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NPI Number | 1558984096
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Entity Type | Organization
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Legal Business Name | GOOD SHEPHERD SENIOR SERVICES
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | GOOD SHEPHERD SENIOR SERVICES 1134 MURFREESBORO PIKE
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City | NASHVILLE
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State | TN
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Zip | 37216
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Country | US
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Telephone | 615-416-2189
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Fax |
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Provider Business Mailing Address
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Address Line | 2908 BRANTLEY DR
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City | ANTIOCH
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State | TN
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Zip | 37013-5205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VERNAL SWEETING
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Credential |
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Telephone | 615-891-2462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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