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General NPI Number Information
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NPI Number | 1508488727
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Entity Type | Organization
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Legal Business Name | HEALING HEARTS HOME HEALTH AND HOSPICE LLC
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 05/11/2020
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Provider Practice Location Address
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Address Line | 1400 N PORTER AVE STE 110
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City | NORMAN
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State | OK
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Zip | 73071-6604
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Country | US
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Telephone | 405-481-6254
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Fax | 844-272-8001
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Provider Business Mailing Address
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Address Line | 1400 N PORTER AVE STE 110
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City | NORMAN
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State | OK
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Zip | 73071-6604
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Country | US
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Telephone | 405-481-6254
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Fax | 844-272-8001
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANGELA DAWN OVERLEY
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Credential |
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Telephone | 405-217-2955
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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 |
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License Number State |
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