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General NPI Number Information
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NPI Number | 1972568335
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOME HEALTH, LLC
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 05/08/2014
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Provider Practice Location Address
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Address Line | 135 KENNEDY DR
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City | MARTIN
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State | TN
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Zip | 38237-3309
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Country | US
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Telephone | 731-587-2996
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Fax | 731-587-3116
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Provider Business Mailing Address
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Address Line | 135 KENNEDY DR
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City | MARTIN
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State | TN
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Zip | 38237-3309
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Country | US
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Telephone | 731-587-2996
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Fax | 731-587-3116
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. MICHAEL CARELL
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Credential |
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Telephone | 615-781-0666
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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 | 0000000276
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License Number State | TN
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