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General NPI Number Information
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NPI Number | 1730717174
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Entity Type | Organization
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Legal Business Name | JQEMPIRE VISIONS LLC
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 486 DOVER GLEN DR
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City | ANTIOCH
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State | TN
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Zip | 37013-1827
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Country | US
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Telephone | 770-676-4369
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Fax |
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Provider Business Mailing Address
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Address Line | 486 DOVER GLEN DR
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City | ANTIOCH
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State | TN
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Zip | 37013-1827
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Country | US
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Telephone | 770-676-4369
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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 | MR. JARON QUINCY ADAMS
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Credential |
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Telephone | 731-474-9857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #7
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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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