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NPI 1639441397

NPI 1639441397 : CARING HEARTS AND HANDS OF TENNESSEE, LLC : PIGEON FORGE, TN

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General NPI Number Information
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    NPI Number           |    1639441397
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARING HEARTS AND HANDS OF TENNESSEE, LLC 
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Dates
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    Enumeration Date     |    01/27/2012
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    Last Update Date     |    01/27/2012
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Provider Practice Location Address
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    Address Line         |    226 BELLWOOD AVE 
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    City                 |    PIGEON FORGE
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    State                |    TN
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    Zip                  |    37863-3303
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    Country              |    US
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    Telephone            |    865-453-7165
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    Fax                  |    865-429-1148
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Provider Business Mailing Address
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    Address Line         |    226 BELLWOOD AVE 
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    City                 |    PIGEON FORGE
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    State                |    TN
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    Zip                  |    37863-3303
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    Country              |    US
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    Telephone            |    865-453-7165
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    Fax                  |    865-429-1148
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. AMMIE L. MINTON 
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    Credential           |    
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    Telephone            |    865-453-7165
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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       |    1000000010192
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    License Number State |    TN
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