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General NPI Number Information
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NPI Number | 1669233862
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Entity Type | Organization
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Legal Business Name | ANOINTED TOUCH RESIDENTIAL SERVICES LLC
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 1800 N MERIDIAN ST STE 602
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1433
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Country | US
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Telephone | 317-690-0590
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 N MERIDIAN ST STE 602
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1433
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Country | US
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Telephone | 317-690-0590
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AYRIES BLEDSOE
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Credential |
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Telephone | 317-374-9933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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