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General NPI Number Information
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NPI Number | 1780209007
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Entity Type | Organization
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Legal Business Name | HEARTS FOR HEALING LLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 4930 PROMENADE DR SW
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City | ATLANTA
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State | GA
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Zip | 30331-8719
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Country | US
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Telephone | 404-587-9162
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Fax |
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Provider Business Mailing Address
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Address Line | 1572 HIGHWAY 85 N STE 204
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7726
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Country | US
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Telephone | 404-587-9162
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LATASHIA PRINCE
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Credential |
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Telephone | 404-587-9162
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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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