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General NPI Number Information
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NPI Number | 1669753380
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Entity Type | Organization
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Legal Business Name | LOVING HANDS HOME CARE
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 2000 W MAIN ST SUITE F
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City | RICHMOND
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State | IN
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Zip | 47374-3868
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Country | US
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Telephone | 765-488-1427
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 W MAIN ST SUITE F/ PO BOX 1583
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City | RICHMOND
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State | IN
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Zip | 47374-3868
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Country | US
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Telephone | 765-488-1427
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. BEVERA FAULKENBERG
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Credential |
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Telephone | 765-488-1427
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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 | 110117631
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License Number State | IN
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