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General NPI Number Information
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NPI Number | 1821625690
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Entity Type | Organization
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Legal Business Name | LOVING HANDS CARING HEARTS NON-MEDICAL HOMEHEALTH
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 2172 DEER RUN TRL
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City | JACKSONVILLE
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State | FL
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Zip | 32246-1066
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Country | US
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Telephone | 904-486-6883
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Fax | 904-738-8042
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Provider Business Mailing Address
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Address Line | 2172 DEER RUN TRL
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City | JACKSONVILLE
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State | FL
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Zip | 32246-1066
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Country | US
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Telephone | 904-486-6883
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Fax | 904-738-8042
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Authorized Official
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Title or Position | CERTIFIED NURSE ASSISTANT
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Name | MS. CRECIE WASHINGTON
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Credential |
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Telephone | 904-486-6883
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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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