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General NPI Number Information
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NPI Number | 1689210007
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Entity Type | Organization
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Legal Business Name | TRB CONSULTING & SOLUTIONS LLC
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 11/20/2019
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Provider Practice Location Address
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Address Line | 3051 ELLIS ST
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City | MILAN
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State | TN
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Zip | 38358-2112
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Country | US
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Telephone | 731-445-2061
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Fax |
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Provider Business Mailing Address
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Address Line | 10 HUGHES LOOP
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City | MILAN
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State | TN
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Zip | 38358-5503
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Country | US
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Telephone | 731-445-2061
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAWANNA R BALLARD
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Credential | LMSW, MBA
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Telephone | 731-445-2061
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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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