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General NPI Number Information
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NPI Number | 1750425104
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Entity Type | Organization
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Legal Business Name | JANE PHILLIPS REGIONAL HOME CARE, LLC.
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 3061 SE WASHINGTON BLVD
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City | BARTLESVILLE
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State | OK
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Zip | 74006-7629
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Country | US
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Telephone | 918-907-3010
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Fax | 844-721-8184
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Provider Business Mailing Address
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Address Line | 10 CADILLAC DR STE 400
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City | BRENTWOOD
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State | TN
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Zip | 37027-1001
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Country | US
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Telephone | 615-637-9163
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Fax | 615-373-4457
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Authorized Official
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Title or Position | SVP CHIEF LEGAL OFFICER
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Name | RUSSELL ADKINS
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Credential |
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Telephone | 615-309-5668
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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 | 7217
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License Number State | OK
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