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General NPI Number Information
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NPI Number | 1053007096
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Entity Type | Organization
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Legal Business Name | KRISTINA'S HEART TO HEART HOME HEALTHCARE
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 1400 CRESCENT VISCHER FERRY RD APT 505518
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City | HALFMOON
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State | NY
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Zip | 12065-7989
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Country | US
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Telephone | 518-512-7604
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Fax | 518-357-3182
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Provider Business Mailing Address
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Address Line | 1400 CRESCENT VISCHER FERRY RD APT 505
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City | HALFMOON
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State | NY
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Zip | 12065-7941
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Country | US
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Telephone | 518-512-7604
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Fax | 518-357-3182
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Authorized Official
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Title or Position | OWNER
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Name | KRISTINA M MERGES
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Credential | DBA
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Telephone | 518-512-7604
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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 |
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License Number State |
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