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General NPI Number Information
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NPI Number | 1982297933
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Entity Type | Organization
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Legal Business Name | ADORATION HEALTH, LLC
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 1210 BRIARVILLE RD
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City | MADISON
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State | TN
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Zip | 37115-5141
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Country | US
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Telephone | 615-610-0568
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Fax | 629-204-3099
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Provider Business Mailing Address
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Address Line | 805 N WHITTINGTON PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40222-7101
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Country | US
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Telephone | 502-272-3466
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Fax |
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Authorized Official
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Title or Position | DIRECTOR & PRESIDENT
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Name | REXANNE DOMICO
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Credential |
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Telephone | 502-272-3466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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