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General NPI Number Information
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NPI Number | 1881183424
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Entity Type | Organization
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Legal Business Name | BOLD TOUCH HOME HEALTH SERVICES
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 1000A RUBBER WAY
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City | VICKSBURG
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State | MS
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Zip | 39180-8322
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Country | US
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Telephone | 601-807-3776
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Fax |
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Provider Business Mailing Address
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Address Line | 12 BASS LN
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City | NATCHEZ
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State | MS
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Zip | 39120-8499
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Country | US
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Telephone | 601-807-3776
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. OSCAR L DAVIS
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Credential |
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Telephone | 601-807-3776
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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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