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General NPI Number Information
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NPI Number | 1053603456
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Entity Type | Organization
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Legal Business Name | HEART2HEART HOMECARE SERVICES, INC.
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 104 S CANAL ST
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City | NATCHEZ
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State | MS
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Zip | 39120-3499
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Country | US
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Telephone | 601-445-5553
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Fax | 601-445-5510
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Provider Business Mailing Address
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Address Line | PO BOX 396
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City | NATCHEZ
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State | MS
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Zip | 39121-0396
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Country | US
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Telephone | 601-445-5553
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Fax | 601-445-5510
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Authorized Official
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Title or Position | PREDIDENT
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Name | MS. TAWANNA TYRELLE JONES
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Credential |
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Telephone | 601-445-5553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 11523
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License Number State | MS
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