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General NPI Number Information
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NPI Number | 1558820548
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Entity Type | Organization
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Legal Business Name | HENRIETTA'S LOVING HANDS LLC
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 129 HENDERSON ST
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City | HOT SPRINGS
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State | AR
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Zip | 71913-5222
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Country | US
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Telephone | 501-762-3368
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21876
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City | HOT SPRINGS
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State | AR
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Zip | 71903-1876
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TRUDY MOORE-WARNER
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Credential |
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Telephone | 501-762-3368
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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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