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General NPI Number Information
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NPI Number | 1336812759
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Entity Type | Organization
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Legal Business Name | GIFTED HAND COMPANIONS, LLC
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 2120 AITKIN LOOP # 0
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City | LEESBURG
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State | FL
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Zip | 34748-2962
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Country | US
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Telephone | 352-801-5682
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 AITKIN LOOP # 0
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City | LEESBURG
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State | FL
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Zip | 34748-2962
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Country | US
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Telephone | 352-801-5682
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY GREEN
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Credential |
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Telephone | 407-712-5457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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