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General NPI Number Information
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NPI Number | 1770828584
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Entity Type | Organization
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Legal Business Name | HELPING HEARTS PRIVATE DUTY NURSING SERVICE
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 144 SUNFLOWER AVE
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City | CLARKSDALE
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State | MS
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Zip | 38614-4219
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Country | US
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Telephone | 662-592-4167
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Fax |
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Provider Business Mailing Address
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Address Line | 144 SUNFLOWER AVE
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City | CLARKSDALE
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State | MS
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Zip | 38614-4219
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. DINAH WASHINGTON
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Credential |
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Telephone | 662-592-4167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | L27230
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License Number State | AR
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