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General NPI Number Information
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NPI Number | 1912206558
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Entity Type | Organization
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Legal Business Name | GENTLE HANDS HOME HEALTH CARE SERVICE
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Dates
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Enumeration Date | 03/22/2011
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 3416 WHITESAIL CT
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City | ANTIOCH
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State | TN
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Zip | 37013-7418
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Country | US
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Telephone | 615-977-6127
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Fax |
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Provider Business Mailing Address
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Address Line | 3416 WHITESAIL CT
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City | ANTIOCH
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State | TN
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Zip | 37013-7418
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Country | US
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Telephone | 615-977-6127
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. STEPHANIE N KING
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Credential |
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Telephone | 615-977-6127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 39950
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 89139
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License Number State | TN
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