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General NPI Number Information
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NPI Number | 1568727998
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Entity Type | Organization
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Legal Business Name | FIRSTCARE ENTERPRISES, LLC
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 01/16/2017
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Provider Practice Location Address
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Address Line | 504 AUTUMN SPRINGS CT SUITE C-20
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City | FRANKLIN
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State | TN
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Zip | 37067-8277
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Country | US
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Telephone | 615-567-5857
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Fax | 615-567-5858
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Provider Business Mailing Address
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Address Line | 504 AUTUMN SPRINGS CT SUITE C-20
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City | FRANKLIN
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State | TN
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Zip | 37067-8277
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Country | US
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Telephone | 615-567-5857
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Fax | 615-567-5858
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JASON FALK
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Credential |
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Telephone | 615-567-5857
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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 | L000000014071
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License Number State | TN
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