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General NPI Number Information
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NPI Number | 1336932326
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Entity Type | Organization
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Legal Business Name | OUTSTRETCHED HANDS, LLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 301 LYDE AVE APT 1093
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City | LOUISA
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State | VA
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Zip | 23093-6511
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Country | US
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Telephone | 804-615-3370
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Fax | 540-500-5901
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Provider Business Mailing Address
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Address Line | 301 LYDE AVE APT 1003301
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City | LOUISA
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State | VA
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Zip | 23093-6513
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Country | US
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Telephone | 804-615-3370
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Fax | 560-500-5901
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Authorized Official
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Title or Position | OWNER
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Name | JOAN RENEE COOK
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Credential | CNA
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Telephone | 804-615-3370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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