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General NPI Number Information
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NPI Number | 1790155422
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Entity Type | Organization
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Legal Business Name | HEALING HANDS PCA LLC
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 1014 TRENTON RD
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City | LEVITTOWN
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State | PA
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Zip | 19054-1002
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Country | US
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Telephone | 267-799-4714
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Fax | 267-799-4716
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Provider Business Mailing Address
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Address Line | 1014 TRENTON RD
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City | LEVITTOWN
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State | PA
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Zip | 19054-1002
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Country | US
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Telephone | 267-799-4714
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Fax | 267-799-4716
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Authorized Official
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Title or Position | CEO
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Name | MRS. DANLETTE A NYANTI
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Credential |
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Telephone | 215-218-8529
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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 | 26903601
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License Number State | PA
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