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General NPI Number Information
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NPI Number | 1598013468
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Entity Type | Organization
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Legal Business Name | HANDS WITH HEART, LLC
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Dates
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Enumeration Date | 08/26/2012
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Last Update Date | 08/26/2012
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Provider Practice Location Address
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Address Line | 228 E 5TH AVE
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City | ANTIGO
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State | WI
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Zip | 54409-2712
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Country | US
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Telephone | 715-610-0128
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Fax |
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Provider Business Mailing Address
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Address Line | 228 E 5TH AVE
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City | ANTIGO
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State | WI
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Zip | 54409-2712
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Country | US
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Telephone | 715-610-0128
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Fax |
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Authorized Official
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Title or Position | CAREGIVER & FOUNDER
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Name | MS. JILL A. LEWANDOWSKI
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Credential |
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Telephone | 715-610-0128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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