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General NPI Number Information
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NPI Number | 1942236583
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Entity Type | Organization
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Legal Business Name | LEXINGTON HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 185 BOSWELL ST
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City | LEXINGTON
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State | TN
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Zip | 38351-1597
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Country | US
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Telephone | 731-968-1860
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Fax | 731-968-1875
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Provider Business Mailing Address
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Address Line | 185 BOSWELL ST
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City | LEXINGTON
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State | TN
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Zip | 38351-1597
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Country | US
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Telephone | 731-968-1860
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Fax | 731-968-1875
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | LAURIE HOLTSFORD
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Credential |
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Telephone | 615-465-7466
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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 | 0000000139
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License Number State | TN
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