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General NPI Number Information
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NPI Number | 1730422635
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Entity Type | Organization
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Legal Business Name | BETHANY H&R NURSING, LLC
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Dates
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Enumeration Date | 03/29/2013
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Last Update Date | 03/29/2013
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Provider Practice Location Address
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Address Line | 421 OCALA DR
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City | NASHVILLE
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State | TN
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Zip | 37211-6387
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Country | US
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Telephone | 615-834-4214
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Fax | 615-833-9407
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Provider Business Mailing Address
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Address Line | 421 OCALA DR
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City | NASHVILLE
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State | TN
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Zip | 37211-6387
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Country | US
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Telephone | 615-834-4214
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Fax | 615-833-9407
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Authorized Official
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Title or Position | MANAGER
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Name | BOYD M GENTRY
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Credential |
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Telephone | 678-869-5118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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