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General NPI Number Information
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NPI Number | 1235579616
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Entity Type | Organization
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Legal Business Name | KELLY'S HELPING HANDS,INC
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 16648 NW HWY 19
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City | FANNING SPRINGS
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State | FL
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Zip | 32693
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Country | US
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Telephone | 352-463-3000
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Fax | 352-463-3055
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Provider Business Mailing Address
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Address Line | PO BOX 484
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City | OLD TOWN
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State | FL
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Zip | 32680-0484
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Country | US
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Telephone | 352-463-3000
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Fax | 352-463-3055
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KELLY C BYRD
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Credential | 3524633000
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Telephone | 352-463-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | FL
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