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General NPI Number Information
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NPI Number | 1679373658
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Entity Type | Organization
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Legal Business Name | HUMPHREYS FAMILY HOLDINGS
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1373 BYRD CIR
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City | KINGSTON
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State | TN
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Zip | 37763-2347
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Country | US
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Telephone | 865-201-6627
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Fax |
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Provider Business Mailing Address
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Address Line | 1373 BYRD CIR
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City | KINGSTON
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State | TN
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Zip | 37763-2347
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Country | US
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Telephone | 865-201-6627
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Fax |
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Authorized Official
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Title or Position | OWNER/HEALTHCARE PROVIDER
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Name | BRANTLEY H HUMPHREYS
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Credential | RN-BSN
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Telephone | 865-201-6627
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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 |
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License Number State |
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