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General NPI Number Information
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NPI Number | 1407333636
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Entity Type | Organization
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Legal Business Name | A LOVING HAND HOME CARE LLC
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Dates
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Enumeration Date | 07/20/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 220 NETTLES LN APT 5-302
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City | PONTE VEDRA
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State | FL
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Zip | 32081-7410
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Country | US
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Telephone | 904-615-3331
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Fax |
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Provider Business Mailing Address
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Address Line | 220 NETTLES LN APT 5-302
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City | PONTE VEDRA
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State | FL
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Zip | 32081-7410
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Country | US
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Telephone | 904-615-3331
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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. SHARINA SHANTA RICHARDSON
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Credential | ETC
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Telephone | 904-615-3331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 331245
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License Number State | FL
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