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General NPI Number Information
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NPI Number | 1902541857
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Entity Type | Organization
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Legal Business Name | HEALING TOUCH PHLEBOTOMY AND HOMECARE SERVICES
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 5253 NE 134TH AVE
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City | WILLISTON
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State | FL
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Zip | 32696-6067
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Country | US
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Telephone | 352-260-5952
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Fax |
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Provider Business Mailing Address
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Address Line | 5253 NE 134TH AVE
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City | WILLISTON
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State | FL
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Zip | 32696-6067
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Country | US
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Telephone | 352-260-5952
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHUTAMA WILLIAMS
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Credential |
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Telephone | 352-260-5952
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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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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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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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