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General NPI Number Information
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NPI Number | 1902785330
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Entity Type | Organization
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Legal Business Name | WLR ENTERPRISE INC
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 13775 HIGHWAY 57 STE 7
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City | MOSCOW
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State | TN
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Zip | 38057-3802
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Country | US
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Telephone | 888-295-4233
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Fax |
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Provider Business Mailing Address
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Address Line | 13775 HIGHWAY 57 STE 7
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City | MOSCOW
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State | TN
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Zip | 38057-3802
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Country | US
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Telephone | 888-295-4233
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RENATA WALTON
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Credential |
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Telephone | 901-850-6822
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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 |
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License Number State |
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