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General NPI Number Information
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NPI Number | 1740582824
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Entity Type | Organization
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Legal Business Name | TRIPLETT HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 950 HAWKINS RD
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City | FOREST
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State | MS
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Zip | 39074-8329
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Country | US
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Telephone | 601-507-5203
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Fax |
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Provider Business Mailing Address
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Address Line | 950 HAWKINS RD
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City | FOREST
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State | MS
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Zip | 39074-8329
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Country | US
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Telephone | 601-507-5203
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELVIN M TRIPLETT
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Credential |
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Telephone | 601-507-5203
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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 | 802292782
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License Number State | MS
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