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General NPI Number Information
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NPI Number | 1578174553
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Entity Type | Organization
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Legal Business Name | HEALING HANDS OF COMFORT, LLC
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Dates
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Enumeration Date | 08/12/2020
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 307 CYPRESS AVE
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City | HATTIESBURG
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State | MS
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Zip | 39401-5108
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Country | US
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Telephone | 601-658-0741
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 763
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City | HATTIESBURG
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State | MS
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Zip | 39403-0763
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Country | US
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Telephone | 601-658-0741
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. ELUNION JOSHUANA COOPER
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Credential |
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Telephone | 601-658-0741
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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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