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General NPI Number Information
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NPI Number | 1275303802
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Entity Type | Organization
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Legal Business Name | HEART 2 HOME PRIMARY CARE LLC
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 2922 S WALFORD DR
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-5333
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Country | US
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Telephone | 502-234-1172
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 PETRA CT
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City | LOUISVILLE
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State | KY
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Zip | 40219-5263
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Country | US
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Telephone |
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Fax | 908-490-6463
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Authorized Official
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Title or Position | APRN
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Name | MS. JOANN HOBBS
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Credential | MSN FNP-BC
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Telephone | 502-553-3389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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