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General NPI Number Information
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NPI Number | 1538836986
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Entity Type | Organization
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Legal Business Name | HEART AND HOME IN HOME CARE LLC
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 647 W LOSEY ST STE 3
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City | GALESBURG
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State | IL
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Zip | 61401-2594
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Country | US
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Telephone | 309-351-7882
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Fax | 309-973-4121
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Provider Business Mailing Address
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Address Line | 647 W LOSEY ST STE 3
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City | GALESBURG
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State | IL
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Zip | 61401-2594
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Country | US
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Telephone | 309-351-7882
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Fax | 309-973-4121
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JESSICA RENEE PAUL
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Credential |
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Telephone | 309-351-7882
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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 |
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License Number State |
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