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General NPI Number Information
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NPI Number | 1659268209
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Entity Type | Organization
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Legal Business Name | HEALING HANDS FAMILY HEALTHCARE
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 19 ROSEBERRY CIR
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City | PORT WENTWORTH
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State | GA
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Zip | 31407-5612
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Country | US
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Telephone | 912-787-1664
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Fax | 866-902-8853
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Provider Business Mailing Address
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Address Line | 19 ROSEBERRY CIR
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City | PORT WENTWORTH
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State | GA
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Zip | 31407-5612
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Country | US
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Telephone | 954-881-3710
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | REGINE CHARLES ROY
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Credential | FNP-C
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Telephone | 954-881-3710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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