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General NPI Number Information
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NPI Number | 1811220387
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Entity Type | Organization
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Legal Business Name | LOVING HANDS HOMEMAKER
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 1276 LONGVIEW DR
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City | GREENVILLE
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State | MS
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Zip | 38703-6633
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Country | US
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Telephone | 662-335-3570
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Fax | 662-335-3570
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Provider Business Mailing Address
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Address Line | 1276 LONGVIEW DR
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City | GREENVILLE
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State | MS
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Zip | 38703-6633
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Country | US
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Telephone | 662-335-3570
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Fax | 662-335-3570
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Authorized Official
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Title or Position | LPN
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Name | MS. THEA BARNES I
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Credential |
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Telephone | 662-335-3570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | P279862
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License Number State | MS
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