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General NPI Number Information
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NPI Number | 1881179836
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Entity Type | Organization
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Legal Business Name | TWO HEARTS COMPANION HOMEMAKER SERV.
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Dates
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Enumeration Date | 09/26/2018
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Last Update Date | 09/26/2018
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Provider Practice Location Address
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Address Line | 3320 NEW YORK AVE
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City | SEBRING
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State | FL
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Zip | 33870
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Country | US
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Telephone | 863-214-3613
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Fax |
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Provider Business Mailing Address
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Address Line | 3320 NEW YORK AVE
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City | SEBRING
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State | FL
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Zip | 33870
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Country | US
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Telephone | 863-214-3613
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Fax |
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Authorized Official
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Title or Position | COMPANION HOMEMAKER
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Name | MRS. KATRINA LYNN KIRK
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Credential |
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Telephone | 863-214-3613
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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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