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General NPI Number Information
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NPI Number | 1407455462
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Entity Type | Organization
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Legal Business Name | EXTENDING A HAND HOME CARE
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 207 MILL LN
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City | TENNILLE
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State | GA
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Zip | 31089-4308
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Country | US
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Telephone | 888-552-7874
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Fax | 888-491-7373
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Provider Business Mailing Address
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Address Line | PO BOX 301
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City | TENNILLE
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State | GA
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Zip | 31089-0301
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Country | US
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Telephone | 888-552-7874
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Fax | 888-491-7373
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | BRIDGET JORDAN LOWE
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Credential |
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Telephone | 706-825-1687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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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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