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General NPI Number Information
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NPI Number | 1497157515
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Entity Type | Organization
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Legal Business Name | AMAZING HANDS HOME CARE
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 7810 KIRBY CT
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City | LUSBY
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State | MD
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Zip | 20657
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Country | US
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Telephone | 410-231-1777
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Fax | 804-597-0164
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Provider Business Mailing Address
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Address Line | 7810 KIRBY CT
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City | LUSBY
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State | MD
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Zip | 20657-4237
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Country | US
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Telephone | 410-231-1777
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. YVETTE V MIX
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Credential | NURSING
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Telephone | 240-317-9037
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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 | HCO-15332
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License Number State | VA
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