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General NPI Number Information
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NPI Number | 1902268089
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Entity Type | Organization
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Legal Business Name | HEALING HANDS HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 03/28/2016
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Provider Practice Location Address
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Address Line | 15042 CARROLLTON BLVD UNIT J
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City | CARROLLTON
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State | VA
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Zip | 23314-3493
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Country | US
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Telephone | 757-337-4084
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Fax | 757-745-7745
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Provider Business Mailing Address
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Address Line | 15042 CARROLLTON BLVD UNIT J
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City | CARROLLTON
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State | VA
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Zip | 23314-3493
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Country | US
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Telephone | 757-337-4084
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Fax | 757-745-7745
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MRS. BRENDA BENN
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Credential |
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Telephone | 757-337-4084
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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 | HCO-161075
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License Number State | VA
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