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General NPI Number Information
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NPI Number | 1619205234
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Entity Type | Organization
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Legal Business Name | A NURSE'S TOUCH
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 110 STARLING AVE
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City | MARTINSVILLE
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State | VA
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Zip | 24112-3806
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Country | US
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Telephone | 276-632-1114
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Fax | 276-632-2556
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Provider Business Mailing Address
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Address Line | 110 STARLING AVE
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City | MARTINSVILLE
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State | VA
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Zip | 24112-3806
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Country | US
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Telephone | 276-632-1114
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Fax | 276-632-2556
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Authorized Official
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Title or Position | OWNER AND OPERATOR
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Name | TRIVINIA KELLAM HAIRSTON
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Credential | RN,BSN
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Telephone | 276-340-7274
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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 | 0001134098
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License Number State | VA
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