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General NPI Number Information
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NPI Number | 1407669070
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Entity Type | Organization
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Legal Business Name | HOLISTIC HEART HOME HEALTH PLLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 11 UNION ST S STE 105
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City | CONCORD
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State | NC
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Zip | 28025-5088
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Country | US
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Telephone | 980-310-6381
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Fax |
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Provider Business Mailing Address
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Address Line | 10301 WINDTREE LN
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City | CHARLOTTE
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State | NC
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Zip | 28215-9019
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Country | US
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Telephone | 980-310-6381
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Fax |
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Authorized Official
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Title or Position | CHIEF NURSING OFFICER
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Name | MONIQUE LUCAS
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Credential | RN
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Telephone | 980-310-6381
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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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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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