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General NPI Number Information
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NPI Number | 1780464453
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Entity Type | Organization
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Legal Business Name | A TWIN WITH A WARM HEART LLC
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 204 OTTAWA DR
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City | PONTIAC
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State | MI
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Zip | 48341-2044
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Country | US
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Telephone | 248-991-7835
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Fax |
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Provider Business Mailing Address
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Address Line | 204 OTTAWA DR
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City | PONTIAC
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State | MI
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Zip | 48341-2044
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Country | US
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Telephone | 248-991-7835
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AUDRA L PERKINS
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Credential | CNA
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Telephone | 248-991-7835
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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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