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General NPI Number Information
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NPI Number | 1780291013
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Entity Type | Organization
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Legal Business Name | PURPLE HEART HEALTH CARE, INC.
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 507 W INNES ST STE 105
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City | SALISBURY
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State | NC
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Zip | 28144-4250
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Country | US
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Telephone | 704-754-8878
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Fax | 704-754-8868
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Provider Business Mailing Address
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Address Line | 990 RUHLMAN LOOP
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City | THE VILLAGES
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State | FL
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Zip | 34762-6968
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Country | US
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Telephone | 407-554-1341
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Fax | 407-554-1349
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Authorized Official
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Title or Position | CFO
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Name | KAREN VANDYKE
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Credential |
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Telephone | 407-554-1341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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