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NPI 1578177184

NPI 1578177184 : HOME HEALTH PROFESSIONAL NETWORK INC. : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1578177184
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOME HEALTH PROFESSIONAL NETWORK INC. 
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Dates
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    Enumeration Date     |    09/01/2020
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    Last Update Date     |    09/01/2020
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Provider Practice Location Address
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    Address Line         |    462 AVERY WAY APT 6101 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37922-4430
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    Country              |    US
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    Telephone            |    865-245-0105
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 23171 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37933-1171
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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    |    CEO
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    Name                 |     DAVID  HAYRAPETYAN 
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    Credential           |    
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    Telephone            |    865-245-0105
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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       |    
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    License Number State |    
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