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General NPI Number Information
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NPI Number | 1144124769
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Entity Type | Organization
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Legal Business Name | GRATEFUL ASSISTANCE HEALTHCARE, LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 815 PENNSYLVANIA AVE
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City | MCCOMB
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State | MS
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Zip | 39648-4744
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Country | US
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Telephone | 601-265-8418
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Fax |
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Provider Business Mailing Address
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Address Line | 815 PENNSYLVANIA AVE STE A
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City | MCCOMB
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State | MS
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Zip | 39648-4744
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Country | US
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Telephone | 601-265-8418
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TANALSHA WILLIAMS
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Credential |
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Telephone | 601-265-8418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State | NULL
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