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General NPI Number Information
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NPI Number | 1770935496
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Entity Type | Organization
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Legal Business Name | CARING STARTS HERE
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 705B S MAIN ST
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City | PETAL
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State | MS
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Zip | 39465-2263
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Country | US
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Telephone | 601-909-6040
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Fax |
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Provider Business Mailing Address
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Address Line | 75 REDFERN TRL
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City | PETAL
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State | MS
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Zip | 39465-2672
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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 | PRESIDENT
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Name | MR. JOHN THOMSEN JR.
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Credential |
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Telephone | 601-909-4060
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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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