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General NPI Number Information
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NPI Number | 1548518392
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Entity Type | Organization
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Legal Business Name | LOVING KINDNESS A HELPING HAND, LLC
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 5115 SEALION
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City | VALDEZ
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State | AK
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Zip | 99686-1703
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Country | US
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Telephone | 907-835-2990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1703
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City | VALDEZ
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State | AK
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Zip | 99686-1703
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Country | US
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Telephone | 907-835-2990
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE MANAGER
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Name | CYNTHIA EBB
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Credential | LPN
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Telephone | 907-255-4339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 100980
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License Number State | AK
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