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General NPI Number Information
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NPI Number | 1790460558
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Entity Type | Organization
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Legal Business Name | CARING HEARTS AND HANDS, LLC
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 301 W GALLATIN ST
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City | HAZLEHURST
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State | MS
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Zip | 39083-3027
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Country | US
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Telephone | 601-623-9119
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 HANSEN ST
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City | HAZLEHURST
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State | MS
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Zip | 39083-3505
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Country | US
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Telephone | 601-717-3275
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. JACQUELINE GORDON
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Credential |
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Telephone | 601-717-3275
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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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