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General NPI Number Information
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NPI Number | 1174378954
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Entity Type | Organization
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Legal Business Name | KATE'S HEAVENLY HANDS, LLC
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 2421 COLUMBUS RD NE
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City | CANTON
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State | OH
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Zip | 44705-2560
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Country | US
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Telephone | 234-360-8018
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Fax | 234-360-8021
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Provider Business Mailing Address
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Address Line | 2421 COLUMBUS RD NE
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City | CANTON
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State | OH
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Zip | 44705-2560
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Country | US
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Telephone | 234-360-8018
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Fax | 234-360-8021
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | EIRENE SESSOUMA
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Credential |
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Telephone | 234-360-8018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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