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General NPI Number Information
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NPI Number | 1417483017
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL TOUCH HOME HEALTH, LLC
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 300 BYRAM DR SUITE 31-A
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City | BYRAM
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State | MS
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Zip | 39272-9259
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Country | US
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Telephone | 601-589-0768
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6621
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City | JACKSON
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State | MS
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Zip | 39282-6621
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Country | US
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Telephone | 601-589-0768
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. CASSANDRA CHRISTIANA JAMES-WEATHERSBY
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Credential |
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Telephone | 601-589-0768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 1113905
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License Number State | MS
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