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General NPI Number Information
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NPI Number | 1356264048
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Entity Type | Organization
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Legal Business Name | LEGACY HANDS HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 112 MAIN ST STE B
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City | BYRON
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State | GA
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Zip | 31008-7293
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Country | US
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Telephone | 478-672-7494
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Fax |
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Provider Business Mailing Address
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Address Line | 671 W SEMINOLE DR
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City | BYRON
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State | GA
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Zip | 31008-4115
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Country | US
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Telephone | 478-672-7494
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/LPN
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Name | SANDRA WHITERS
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Credential | LPN
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Telephone | 478-672-7494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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