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General NPI Number Information
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NPI Number | 1003099581
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Entity Type | Organization
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Legal Business Name | HEART TO HEART IN-HOME CARE, INC.
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 211 BUSINESS HH
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City | PIEDMONT
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State | MO
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Zip | 63957-9410
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Country | US
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Telephone | 573-223-2875
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Fax | 573-223-2867
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Provider Business Mailing Address
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Address Line | 211 BUSINESS HH
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City | PIEDMONT
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State | MO
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Zip | 63957-9410
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Country | US
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Telephone | 573-223-2875
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Fax | 573-223-2867
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MELISA JANE PROVANCE
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Credential |
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Telephone | 573-223-2875
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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 | 286336201
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License Number State | MO
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