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General NPI Number Information
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NPI Number | 1710014956
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Entity Type | Organization
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Legal Business Name | HANDMAIDEN HOME HEALTH SERVICES
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 800 VIRGINIA AVE STE 38K
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City | FORT PIERCE
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State | FL
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Zip | 34982-5893
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Country | US
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Telephone | 772-461-0999
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Fax | 772-461-3839
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Provider Business Mailing Address
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Address Line | 800 VIRGINIA AVE STE 38K
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City | FORT PIERCE
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State | FL
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Zip | 34982-5893
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Country | US
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Telephone | 772-461-0999
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Fax | 772-461-3839
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PATRICIA JEAN DURDEN
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Credential | OWNER
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Telephone | 772-461-0999
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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 | 30211250
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License Number State | FL
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