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General NPI Number Information
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NPI Number | 1568787315
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Entity Type | Organization
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Legal Business Name | PROVEN PROCESS LLC
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 4219 HILLSBORO PIKE SUITE 302
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City | NASHVILLE
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State | TN
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Zip | 37215-3332
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Country | US
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Telephone | 615-942-9628
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Fax | 615-942-9648
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Provider Business Mailing Address
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Address Line | 4219 HILLSBORO PIKE SUITE 302
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City | NASHVILLE
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State | TN
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Zip | 37215-3332
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Country | US
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Telephone | 615-942-9628
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Fax | 615-942-9648
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RONALD J. BENKERT
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Credential |
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Telephone | 615-942-9628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | I000000006059
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License Number State | TN
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