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General NPI Number Information
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NPI Number | 1609420967
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Entity Type | Organization
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Legal Business Name | PURE TOUCH HOME CARE, LLC
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 932 HIGHWAY 13 S
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City | COLUMBIA
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State | MS
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Zip | 39429-3590
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Country | US
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Telephone | 601-736-0997
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Fax |
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Provider Business Mailing Address
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Address Line | 5 BETTY DAVIS RD
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City | TYLERTOWN
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State | MS
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Zip | 39667-6177
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA JACKSON
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Credential |
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Telephone | 601-303-2152
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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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