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General NPI Number Information
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NPI Number | 1699158311
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Entity Type | Organization
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Legal Business Name | ABOVE CARE LLC
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 06/30/2015
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Provider Practice Location Address
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Address Line | 1711 SCHAEFFER RD
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City | KNOXVILLE
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State | TN
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Zip | 37932-1524
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Country | US
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Telephone | 865-200-4198
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Fax |
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Provider Business Mailing Address
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Address Line | 1711 SCHAEFFER RD
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City | KNOXVILLE
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State | TN
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Zip | 37932-1524
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Country | US
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Telephone | 865-200-4198
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. AUNDDREA MARIE SCHOLEM
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Credential |
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Telephone | 702-882-0128
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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 | 1000000016646
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License Number State | TN
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