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General NPI Number Information
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NPI Number | 1063179000
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Entity Type | Organization
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Legal Business Name | HILLS HEALING HANDS LLC
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Dates
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Enumeration Date | 11/24/2021
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 12043 KRENNING LN
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City | SAINT LOUIS
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State | MO
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Zip | 63138-2634
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Country | US
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Telephone | 314-896-2320
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Fax | 314-207-0091
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Provider Business Mailing Address
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Address Line | 12043 KRENNING LN
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City | SAINT LOUIS
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State | MO
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Zip | 63138-2634
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Country | US
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Telephone | 314-896-2320
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Fax | 314-207-0091
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Authorized Official
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Title or Position | CEO
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Name | BIANCA ANDREA NEWLON
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Credential |
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Telephone | 314-203-3678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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