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General NPI Number Information
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NPI Number | 1952120610
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Entity Type | Organization
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Legal Business Name | BSBYMF. LLC
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 908 CHADWICK DR APT 6
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City | KINGSPORT
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State | TN
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Zip | 37660-5661
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Country | US
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Telephone | 276-285-8906
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Fax |
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Provider Business Mailing Address
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Address Line | 908 CHADWICK DR APT 6
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City | KINGSPORT
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State | TN
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Zip | 37660-5661
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Country | US
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Telephone | 276-285-8906
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Fax |
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Authorized Official
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Title or Position | OPEATOR
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Name | TIMOTHY MALCOLM MEAD
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Credential | HEALTH COORDINATOR
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Telephone | 276-285-8906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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