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General NPI Number Information
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NPI Number | 1588114110
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Entity Type | Organization
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Legal Business Name | HEAVENLY HELPERS IN-HOME SERVICES
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 9291 LAUREL GROVE RD
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2969
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Country | US
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Telephone | 757-715-0359
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Fax |
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Provider Business Mailing Address
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Address Line | 9291 LAUREL GROVE RD
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2969
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Country | US
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Telephone | 757-715-0359
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MATTHEW MEEKINS
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Credential |
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Telephone | 757-715-0359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 215203001
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License Number State | VA
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