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General NPI Number Information
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NPI Number | 1740530559
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTHCARE CONNECTIONS PERSONAL CARE SERVICES
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 09/19/2012
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Provider Practice Location Address
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Address Line | 5128 OLD HIGHWAY 11 STE 10
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City | HATTIESBURG
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State | MS
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Zip | 39402-6234
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Country | US
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Telephone | 601-599-0006
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Fax | 601-599-0007
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Provider Business Mailing Address
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Address Line | 5128 OLD HIGHWAY 11 STE 10
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City | HATTIESBURG
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State | MS
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Zip | 39402-6234
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Country | US
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Telephone | 601-599-0006
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Fax | 601-599-0007
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Authorized Official
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Title or Position | CFO
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Name | MRS. SHERMANDA BRUMFIELD
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Credential |
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Telephone | 601-599-0006
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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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