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General NPI Number Information
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NPI Number | 1871274290
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Entity Type | Organization
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Legal Business Name | HANDS OF COMPASSION MOBILE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 1873 PATSY ANN CT S
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City | TALLAHASSEE
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State | FL
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Zip | 32303-3357
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Country | US
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Telephone | 229-449-3457
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Fax |
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Provider Business Mailing Address
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Address Line | 113 S MONROE ST FL 1
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City | TALLAHASSEE
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State | FL
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Zip | 32301-1529
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Country | US
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Telephone | 229-894-0637
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | MS. LAVONDA YVETTE WATERS
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Credential |
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Telephone | 229-894-0637
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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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