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General NPI Number Information
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NPI Number | 1285082636
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Entity Type | Organization
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Legal Business Name | CARING HARTZ, LLC
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 32272 EAST ST
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City | BOYKINS
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State | VA
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Zip | 23827-2656
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Country | US
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Telephone | 757-742-2299
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Fax | 757-743-8006
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Provider Business Mailing Address
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Address Line | 32272 EAST ST
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City | BOYKINS
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State | VA
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Zip | 23827-2656
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Country | US
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Telephone | 757-742-2299
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Fax | 757-743-8006
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Authorized Official
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Title or Position | OWNER/ SERVICE FACILITATOR
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Name | MRS. TASHA ROSE CLEMONS
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Credential |
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Telephone | 757-742-2299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 0185323448
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License Number State | VA
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