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NPI 1588460620

NPI 1588460620 : MIRATOUCH LLC : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1588460620
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    Entity Type          |    Organization 
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    Legal Business Name  |    MIRATOUCH LLC 
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Dates
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    Enumeration Date     |    02/20/2025
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    Last Update Date     |    02/20/2025
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Provider Practice Location Address
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    Address Line         |    4338 BARHARBOR CT 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46268-7730
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    Country              |    US
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    Telephone            |    317-640-1192
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4338 BARHARBOR CT 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46268-7730
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    Country              |    US
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    Telephone            |    317-640-1192
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CYNTHIA OGECHUKWU JUWE 
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    Credential           |    
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    Telephone            |    317-362-9367
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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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Taxonomy #2
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    Taxonomy Code        |    332U00000X
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    Taxonomy Name        |    Home Delivered Meals
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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