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General NPI Number Information
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NPI Number | 1497058218
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Entity Type | Organization
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Legal Business Name | AWESOME HANDS HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 703 60TH STREET CT E STE A
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City | BRADENTON
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State | FL
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Zip | 34208-6266
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Country | US
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Telephone | 941-747-0999
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Fax | 941-747-7839
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Provider Business Mailing Address
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Address Line | 703 60TH STREET CT E STE A
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City | BRADENTON
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State | FL
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Zip | 34208-6266
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Country | US
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Telephone | 941-747-0999
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Fax | 941-747-7839
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Authorized Official
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Title or Position | CEO
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Name | MRS. TINA CAROL BOYERS
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Credential | LPN
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Telephone | 941-747-0999
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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 | 299994074
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License Number State | FL
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