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General NPI Number Information
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NPI Number | 1285374140
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Entity Type | Organization
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Legal Business Name | HEARTS & HARMONY HOME CARE LLC
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 202 FOREST HILLS RD
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City | WALTERBORO
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State | SC
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Zip | 29488-3703
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Country | US
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Telephone | 203-751-5222
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Fax |
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Provider Business Mailing Address
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Address Line | 348 ALONZO RD
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City | SAINT GEORGE
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State | SC
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Zip | 29477-6856
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Country | US
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Telephone | 203-297-7891
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Fax |
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Authorized Official
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Title or Position | OWNER / PRESIDENT / ADMINISTRATOR
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Name | SAMANTHA DEREEF
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Credential |
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Telephone | 203-751-5222
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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 |
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