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General NPI Number Information
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NPI Number | 1649771098
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Entity Type | Organization
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Legal Business Name | SPECTRUM HOME HEALTH CARE
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 4717 DEBRA DR
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City | ANTIOCH
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State | TN
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Zip | 37013-2904
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Country | US
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Telephone | 615-928-0192
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Fax |
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Provider Business Mailing Address
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Address Line | 4717 DEBRA DR
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City | ANTIOCH
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State | TN
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Zip | 37013-2904
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Country | US
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Telephone | 615-928-0192
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. ERICA MCWILLIAMS
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Credential | OWNER
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Telephone | 615-928-0192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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