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General NPI Number Information
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NPI Number | 1366871964
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Entity Type | Organization
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Legal Business Name | HEAVENLY HANDS OF VA
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 11/04/2013
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Provider Practice Location Address
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Address Line | 1607 WARDS FERRY RD
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City | LYNCHBURG
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State | VA
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Zip | 24502-2423
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Country | US
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Telephone | 434-851-3367
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 323
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City | MADISON HEIGHTS
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State | VA
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Zip | 24572-0323
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Country | US
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Telephone | 434-851-3367
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURA ANN WATLINGTON
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Credential |
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Telephone | 434-851-3367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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