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General NPI Number Information
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NPI Number | 1003126624
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Entity Type | Organization
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Legal Business Name | HEALING HANDS SERVICE
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Dates
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Enumeration Date | 10/16/2010
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Last Update Date | 10/16/2010
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Provider Practice Location Address
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Address Line | 3503 NEWTONS CREST CIR
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City | SNELLVILLE
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State | GA
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Zip | 30078-6939
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Country | US
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Telephone | 678-517-7775
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Fax |
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Provider Business Mailing Address
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Address Line | 3503 NEWTONS CREST CIR
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City | SNELLVILLE
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State | GA
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Zip | 30078-6939
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ELIZABETH SMITH
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Credential |
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Telephone | 678-517-7775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | RN126444
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 126444
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number | 126444
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 126444
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License Number State | GA
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