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General NPI Number Information
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NPI Number | 1457531584
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Entity Type | Organization
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Legal Business Name | BLESSED HANDS PERSONAL CARE AGENCY
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 2714 CANAL ST STE 501
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City | NEW ORLEANS
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State | LA
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Zip | 70119-5548
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Country | US
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Telephone | 504-827-7403
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Fax | 504-827-7404
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Provider Business Mailing Address
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Address Line | 2714 CANAL ST STE 501
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City | NEW ORLEANS
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State | LA
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Zip | 70119-5548
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Country | US
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Telephone | 504-827-7403
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Fax | 504-827-7404
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | MRS. KIMBERLY DESHA DICKERSON
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Credential | RN
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Telephone | 504-827-7403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 7282
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License Number State | LA
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