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General NPI Number Information
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NPI Number | 1871288118
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Entity Type | Organization
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Legal Business Name | CONNECTING HEARTS SENIOR CARE LLC
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 495 GRAND BLVD STE 206
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-1897
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Country | US
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Telephone | 859-992-1091
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Fax |
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Provider Business Mailing Address
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Address Line | 36 HIGHVIEW DR
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City | FORT THOMAS
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State | KY
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Zip | 41075-1659
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Country | US
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Telephone | 859-992-1091
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | SUSAN HENDERSON
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Credential |
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Telephone | 859-992-1091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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