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General NPI Number Information
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NPI Number | 1447074539
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Entity Type | Organization
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Legal Business Name | GENTLE HANDS HOME CARE
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 9973 BLUE RIDGE WAY
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City | INDIANAPOLIS
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State | IN
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Zip | 46234-5044
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Country | US
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Telephone | 317-723-2809
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Fax |
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Provider Business Mailing Address
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Address Line | 6137 CRAWFORDSVILLE RD. STE F #176
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City | SPEEDWAY
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State | IN
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Zip | 46224-3730
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Country | US
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Telephone | 317-723-2809
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEMETRIUS BAKER
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Credential |
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Telephone | 317-723-2809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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