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General NPI Number Information
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NPI Number | 1912436213
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Entity Type | Organization
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Legal Business Name | THIRD HAND ASSISTING INC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 06/08/2017
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Provider Practice Location Address
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Address Line | PO BOX 141
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City | TALISHEEK
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State | LA
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Zip | 70464-0141
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Country | US
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Telephone | 228-547-9679
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Fax | 228-547-9679
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Provider Business Mailing Address
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Address Line | PO BOX 141
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City | TALISHEEK
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State | LA
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Zip | 70464-0141
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Country | US
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Telephone | 228-547-9679
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Fax | 985-886-3566
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOEL BOSWELL GARRETT JR.
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Credential | SURGICAL ASSISTANT
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Telephone | 985-886-3566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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