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General NPI Number Information
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NPI Number | 1265142228
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Entity Type | Organization
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Legal Business Name | HEART OF RAINBOWS LLC
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 607 DELILAH ST
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City | GADSDEN
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State | AL
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Zip | 35901-2623
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Country | US
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Telephone | 256-328-9177
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Fax | 256-886-2155
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Provider Business Mailing Address
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Address Line | 607 DELILAH ST
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City | GADSDEN
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State | AL
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Zip | 35901-2623
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Country | US
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Telephone | 256-328-9177
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Fax | 256-886-2155
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Authorized Official
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Title or Position | OWNER/PHLEBOTOMIST
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Name | NATASHA ROBINSON
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Credential |
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Telephone | 256-328-9177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State |
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