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General NPI Number Information
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NPI Number | 1235019860
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Entity Type | Organization
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Legal Business Name | NISHABLESSEDHANDS LLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1523 E COUNTY LINE RD APT L96
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City | JACKSON
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State | MS
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Zip | 39211-1811
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Country | US
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Telephone | 769-895-3890
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Fax |
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Provider Business Mailing Address
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Address Line | 1810 SAINT CHARLES ST
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City | JACKSON
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State | MS
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Zip | 39209-5407
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Country | US
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Telephone | 769-895-3890
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO/MANAGING MEMBER
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Name | QUARNISHA WALKER
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Credential |
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Telephone | 769-895-3890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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