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General NPI Number Information
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NPI Number | 1700297868
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Entity Type | Organization
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Legal Business Name | TWENTY HANDS, LLC.
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 3314 WINCHELL AVE
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City | KALAMAZOO
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State | MI
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Zip | 49008-2048
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Country | US
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Telephone | 269-665-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 3314 WINCHELL AVE
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City | KALAMAZOO
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State | MI
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Zip | 49008-2048
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Country | US
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Telephone | 269-665-0222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | MRS. SHAWN MARKOVICH FIELDS
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Credential | RN
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Telephone | 269-665-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 4704292041
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License Number State | MI
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