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General NPI Number Information
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NPI Number | 1467908558
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Entity Type | Organization
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Legal Business Name | HEART TO HAND INC
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 9701 APOLLO DR STE 400 SUITE 400
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City | LARGO
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State | MD
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Zip | 20774-4791
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Country | US
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Telephone | 301-772-0103
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Fax |
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Provider Business Mailing Address
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Address Line | 9701 APOLLO DR SUITE 400
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City | LARGO
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State | MD
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Zip | 20774-4783
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Country | US
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Telephone | 301-772-0103
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DEDRA SPEAR-JOHNSON
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Credential |
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Telephone | 301-772-0103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | P07141
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License Number State | MD
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