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General NPI Number Information
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NPI Number | 1114785391
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Entity Type | Organization
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Legal Business Name | HEALING HANDS IV LLC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 690 SHARON CIR
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8348
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Country | US
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Telephone | 941-276-2552
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Fax | 941-761-6959
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Provider Business Mailing Address
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Address Line | 690 SHARON CIR
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8348
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Country | US
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Telephone | 941-276-2552
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Fax | 941-761-6959
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | MR. MARCELLO NICOLOSI
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Credential | RN
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Telephone | 941-276-2552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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