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General NPI Number Information
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NPI Number | 1154510931
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Entity Type | Organization
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Legal Business Name | HEART TO HEART HOME CARE
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 2686 E 10 NORTH CIR
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City | ST GEORGE
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State | UT
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Zip | 84790-9098
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Country | US
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Telephone | 435-986-1077
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Fax | 435-986-1270
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Provider Business Mailing Address
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Address Line | PO BOX 306
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City | WASHINGTON
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State | UT
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Zip | 84780-0306
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Country | US
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Telephone | 435-986-1077
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Fax | 435-986-1270
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | MRS. LAURA KELSO
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Credential |
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Telephone | 435-986-1077
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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 | 6583322-0151
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License Number State | UT
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