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General NPI Number Information
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NPI Number | 1770227951
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Entity Type | Organization
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Legal Business Name | AT HOME HELPERS LLC
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 249 S MAIN ST
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City | TYRONZA
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State | AR
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Zip | 72386-9701
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Country | US
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Telephone | 501-697-5303
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Fax |
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Provider Business Mailing Address
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Address Line | 249 S MAIN ST
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City | TYRONZA
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State | AR
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Zip | 72386-9701
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Country | US
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Telephone | 501-697-5303
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ADMIN
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Name | TERRA BOYKIN
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Credential |
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Telephone | 501-697-5303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 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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