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General NPI Number Information
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NPI Number | 1356711014
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Entity Type | Organization
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Legal Business Name | HEALING HANDS HEALTH SERVICE LLC
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Dates
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Enumeration Date | 10/06/2015
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 4101 GRANBY ST STE 204
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City | NORFOLK
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State | VA
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Zip | 23504-1117
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Country | US
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Telephone | 757-235-4989
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Fax |
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Provider Business Mailing Address
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Address Line | 920 SMOKE TREE LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-4859
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Country | US
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Telephone | 757-235-4989
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JAKITA HALL
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Credential |
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Telephone | 757-235-4989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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