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NPI 1376226548

NPI 1376226548 : HANDS ON COMPANION AGENCY, LLC : WARNER ROBINS, GA

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General NPI Number Information
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    NPI Number           |    1376226548
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    Entity Type          |    Organization 
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    Legal Business Name  |    HANDS ON COMPANION AGENCY, LLC 
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Dates
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    Enumeration Date     |    08/14/2023
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    Last Update Date     |    11/26/2024
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Provider Practice Location Address
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    Address Line         |    1127 S HOUSTON LAKE RD APT 514 
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    City                 |    WARNER ROBINS
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    State                |    GA
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    Zip                  |    31088-2842
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    Country              |    US
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    Telephone            |    478-333-1382
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    Fax                  |    229-213-5071
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Provider Business Mailing Address
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    Address Line         |    4972 MCNAIR RD 
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    City                 |    CAMILLA
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    State                |    GA
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    Zip                  |    31730-3942
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    Country              |    US
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    Telephone            |    478-333-1382
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    Fax                  |    229-213-5071
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MS. TENIKA NECOLE HILL 
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    Credential           |    
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    Telephone            |    478-333-1382
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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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