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General NPI Number Information
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NPI Number | 1073977344
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Entity Type | Organization
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Legal Business Name | PROFESSIONALS TOUCHING LIVES IN CARING, LLC
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 11524 JEFFERSON AVE SUITE 103
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1931
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Country | US
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Telephone | 757-806-6212
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Fax | 757-310-6724
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Provider Business Mailing Address
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Address Line | 11524 JEFFERSON AVE SUITE 103
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1931
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Country | US
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Telephone | 757-806-6212
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Fax | 757-310-6724
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Authorized Official
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Title or Position | CEO
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Name | YVONNE M.D. HALE
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Credential | CPHT, CPI, NOTARY
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Telephone | 757-806-6212
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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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