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General NPI Number Information
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NPI Number | 1053552364
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Entity Type | Organization
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Legal Business Name | LOVING HAND RESPITE CARE
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 03/16/2009
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Provider Practice Location Address
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Address Line | 935 MCALLISTER ST
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City | GREENVILLE
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State | MS
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Zip | 38701-5808
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Country | US
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Telephone | 662-378-3423
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Fax |
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Provider Business Mailing Address
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Address Line | 935 MCALLISTER STREET
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City | GREENVILLE
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State | MS
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Zip | 38701
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Country | US
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Telephone | 662-378-3423
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | MS. THEA ADAMS BARNES
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Credential | NURSE
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Telephone | 662-378-3423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | P279862
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License Number State | MS
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