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General NPI Number Information
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NPI Number | 1720788615
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Entity Type | Organization
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Legal Business Name | HEALING HANDS ENTERPRISE
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 992 LUKE ST
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City | SNELLVILLE
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State | GA
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Zip | 30039-5715
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Country | US
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Telephone | 404-348-4481
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Fax |
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Provider Business Mailing Address
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Address Line | 992 LUKE ST
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City | SNELLVILLE
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State | GA
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Zip | 30039-5715
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Country | US
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Telephone | 404-348-4481
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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 | CERINENA REDMAN-MCLEAN
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Credential | NP
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Telephone | 770-309-9489
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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 |
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License Number State |
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