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General NPI Number Information
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NPI Number | 1609481506
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Entity Type | Organization
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Legal Business Name | LOVING HANDS FOUNDATION INCORPORATED
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 206 UNION ST
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City | LAGRANGE
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State | GA
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Zip | 30241-3343
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Country | US
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Telephone | 706-333-7222
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Fax |
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Provider Business Mailing Address
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Address Line | 1087 HAMMETT RD
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City | LAGRANGE
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State | GA
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Zip | 30241-9378
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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 | EXECUTIVE ASSISTANT
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Name | CARLA LESLIE-GOODEN
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Credential |
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Telephone | 404-343-5996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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