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General NPI Number Information
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NPI Number | 1881419729
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Entity Type | Organization
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Legal Business Name | NEW MERCIES RESIDENTIAL SERVICES LLC
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Dates
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Enumeration Date | 11/16/2024
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Last Update Date | 11/16/2024
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Provider Practice Location Address
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Address Line | 1122 LISCHEY AVE
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City | NASHVILLE
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State | TN
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Zip | 37207-5705
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Country | US
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Telephone | 615-775-3171
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60574
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City | NASHVILLE
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State | TN
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Zip | 37206-0574
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Country | US
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Telephone | 615-886-8210
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGING MEMBER
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Name | JASON FRANKLIN SR.
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Credential |
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Telephone | 615-886-8210
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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 |
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License Number State |
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