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General NPI Number Information
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NPI Number | 1598283418
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Entity Type | Organization
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Legal Business Name | 2 HEART TO HEART GROUP HOME, INC
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6617 KRISTIN CT
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City | ORLANDO
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State | FL
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Zip | 32818
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Country | US
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Telephone | 407-952-5223
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Fax |
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Provider Business Mailing Address
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Address Line | 6617 KRISTIN CT
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City | ORLANDO
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State | FL
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Zip | 32818-5951
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Country | US
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Telephone | 407-952-5223
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. DOLDIE DOMOND
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Credential |
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Telephone | 407-952-5223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 232573
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License Number State | FL
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