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General NPI Number Information
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NPI Number | 1730357799
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Entity Type | Organization
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Legal Business Name | HEART TO HEART PROVIDER LLC
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 1821 N BECKLEY AVE
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City | DALLAS
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State | TX
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Zip | 75203-1194
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Country | US
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Telephone | 214-714-1386
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Fax | 702-446-5165
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Provider Business Mailing Address
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Address Line | PO BOX 382781
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City | DUNCANVILLE
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State | TX
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Zip | 75138-2781
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Country | US
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Telephone | 214-714-1386
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Fax | 702-446-5164
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Authorized Official
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Title or Position | OWNER
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Name | LATOSHA RIDER
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Credential |
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Telephone | 214-714-1386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #4
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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 | TX
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Taxonomy #5
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 251E00000X
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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