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General NPI Number Information
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NPI Number | 1295659126
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Entity Type | Organization
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Legal Business Name | HEAVENLY HANDS HEALTHCARE LLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 1915 ELKRIDGE ST
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City | DAVENPORT
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State | FL
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Zip | 33837-8511
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Country | US
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Telephone | 863-391-8379
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Fax |
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Provider Business Mailing Address
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Address Line | 1915 ELKRIDGE ST
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City | DAVENPORT
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State | FL
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Zip | 33837-8511
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Country | US
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Telephone | 863-391-8379
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | DIANDRA WRIGHT
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Credential |
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Telephone | 863-288-1458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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