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General NPI Number Information
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NPI Number | 1518106699
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Entity Type | Organization
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Legal Business Name | HEART 2 HEART HEALTHCARE SERVICES
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 5260 GROOM RD H
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City | BAKER
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State | LA
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Zip | 70714-3147
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Country | US
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Telephone | 225-771-8632
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Fax | 225-771-8642
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Provider Business Mailing Address
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Address Line | 5260 GROOM RD H
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City | BAKER
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State | LA
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Zip | 70714-3147
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Country | US
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Telephone | 225-771-8632
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Fax | 225-771-8642
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIE NICHELLE SEPTS
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Credential |
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Telephone | 225-678-1026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 15174
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License Number State | LA
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