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General NPI Number Information
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NPI Number | 1093349540
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Entity Type | Organization
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Legal Business Name | HEART OF FAMILIES LLC
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 03/03/2020
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Provider Practice Location Address
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Address Line | 10435 WOODFIELD PL
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City | FORT WAYNE
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State | IN
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Zip | 46835-9750
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Country | US
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Telephone | 407-341-6561
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Fax |
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Provider Business Mailing Address
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Address Line | 921 E DUPONT RD STE 703
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City | FORT WAYNE
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State | IN
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Zip | 46825-1551
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Country | US
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Telephone | 407-341-6561
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/MEDICAL DIRECTOR
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Name | DR. JANESE LYNNETTE LATIMER-PIERSON
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Credential | MD
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Telephone | 407-341-6561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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