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General NPI Number Information
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NPI Number | 1699351858
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Entity Type | Organization
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Legal Business Name | LAJEWELLS LOVING TOUCH, LLC
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 315 HOSPITAL DR STE 204A
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City | MARTINSVILLE
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State | VA
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Zip | 24112-1927
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Country | US
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Telephone | 276-340-9906
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Fax |
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Provider Business Mailing Address
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Address Line | 612 3RD ST
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City | MARTINSVILLE
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State | VA
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Zip | 24112-4022
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Country | US
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Telephone | 276-340-9906
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE DIRECTOR/OWNER
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Name | ALEXIS JONES
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Credential | B.S., QMHPA, QDDP
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Telephone | 276-340-9906
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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 |
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License Number State |
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