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General NPI Number Information
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NPI Number | 1619206232
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Entity Type | Individual
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Provider Name | WANDA LYNN HESSE CNA
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Gender | Female
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 02/20/2012
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Provider Practice Location Address
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Address Line | 2626 SALZBURG
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City | FREELAND
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State | MI
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Zip | 48623-9371
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Country | US
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Telephone | 989-482-6632
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Fax | 989-695-4001
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Provider Business Mailing Address
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Address Line | 2620 SALZBURG RD
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City | FREELAND
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State | MI
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Zip | 48623-9371
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Country | US
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Telephone | 989-482-6632
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Fax | 989-495-0529
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 230014337381108
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License Number State | MI
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