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General NPI Number Information
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NPI Number | 1962397109
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Entity Type | Organization
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Legal Business Name | TUESDAY REIGN ORGANIZATION
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 5000 N DIXIE HWY
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-8603
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Country | US
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Telephone | 972-774-8460
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Fax |
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Provider Business Mailing Address
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Address Line | 109 BROOKEFIELD AVE APT 1B
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-4933
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Country | US
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Telephone | 972-774-8460
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | EZELL DANTE BANKS
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Credential | PH.D
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Telephone | 972-774-8460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 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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Taxonomy #4
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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