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General NPI Number Information
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NPI Number | 1912568221
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Entity Type | Organization
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Legal Business Name | HOGAN HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 1020 WILLIAM BLOUNT DR
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City | MARYVILLE
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State | TN
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Zip | 37801-8401
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Country | US
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Telephone | 865-351-4437
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 WILLIAM BLOUNT DR
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City | MARYVILLE
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State | TN
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Zip | 37801-8401
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Country | US
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Telephone | 865-351-4437
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLEY HOGAN
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Credential |
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Telephone | 865-351-4437
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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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