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General NPI Number Information
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NPI Number | 1255866059
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Entity Type | Organization
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Legal Business Name | PERSONAL TOUCH LLC
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Dates
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Enumeration Date | 04/29/2017
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Last Update Date | 04/29/2017
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Provider Practice Location Address
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Address Line | 614 CHIPPEWAH DR
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City | LAUREL
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State | MS
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Zip | 39443-7413
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Country | US
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Telephone | 601-425-2731
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Fax | 601-422-0727
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Provider Business Mailing Address
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Address Line | 614 CHIPPEWAH DR
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City | LAUREL
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State | MS
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Zip | 39443-7413
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Country | US
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Telephone | 601-425-2732
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Fax | 601-422-0727
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE ELIZABETH MILLSAP
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Credential | RN BSN CDFS TTS
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Telephone | 601-323-7433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | R733788
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | R733788
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License Number State | MS
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