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General NPI Number Information
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NPI Number | 1295115269
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HANDS INC
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 112 ISSAQUENA AVE
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City | CLARKSDALE
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State | MS
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Zip | 38614-4315
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Country | US
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Telephone | 662-592-5393
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Fax | 662-592-5393
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Provider Business Mailing Address
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Address Line | 112 ISSAQUENA AVE PO BOX 1985
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City | CLARKSDALE
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State | MS
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Zip | 38614-4315
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Country | US
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Telephone | 662-592-5393
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Fax | 662-592-5393
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | ANNETTE LOFTON
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Credential |
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Telephone | 662-592-5393
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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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