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General NPI Number Information
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NPI Number | 1548576408
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Entity Type | Organization
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Legal Business Name | SISTERS OF HEALING HANDS
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Dates
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Enumeration Date | 08/29/2010
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Last Update Date | 08/29/2010
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Provider Practice Location Address
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Address Line | 508 BRIDGE WAY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-7367
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Country | US
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Telephone | 770-334-1121
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Fax |
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Provider Business Mailing Address
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Address Line | 508 BRIDGE WAY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-7367
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Country | US
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Telephone | 770-334-1121
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Fax |
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | MS. JORITA PERRI ALEXANDER
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Credential | LPN
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Telephone | 770-334-1121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 067-R-0780
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 067-R-0780
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License Number State | GA
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