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General NPI Number Information
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NPI Number | 1104204585
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Entity Type | Organization
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Legal Business Name | IN HIS HANDS LLC
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Dates
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Enumeration Date | 05/18/2015
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Last Update Date | 05/18/2015
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Provider Practice Location Address
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Address Line | 751 THIMBLE SHOALS BLVD SUITE H-1
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3563
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Country | US
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Telephone | 757-295-1289
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Fax |
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Provider Business Mailing Address
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Address Line | 751 THIMBLE SHOALS BLVD SUITE H-1
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3563
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Country | US
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Telephone | 757-295-1289
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VICTORY WHITAKER
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Credential |
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Telephone | 757-295-1289
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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 | 2380
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License Number State | VA
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