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General NPI Number Information
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NPI Number | 1871978155
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Entity Type | Organization
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Legal Business Name | HEALING HANDS CARING HEARTS LLC
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 2301 N MICHIGAN ST
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City | PITTSBURG
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State | KS
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Zip | 66762-2771
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Country | US
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Telephone | 620-308-0277
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 N MICHIGAN ST
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City | PITTSBURG
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State | KS
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Zip | 66762-2771
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Country | US
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Telephone | 620-308-0277
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Fax |
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Authorized Official
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Title or Position | OWNER/GOVERNING BODY
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Name | BREANA LYNE EBY
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Credential |
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Telephone | 620-308-0277
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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 | A019008
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License Number State | KS
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