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General NPI Number Information
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NPI Number | 1912679804
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Entity Type | Organization
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Legal Business Name | HEALING TOUCH PERSONAL CARE, LLC
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 4473 PEPPERMILL LN
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City | LAKE ORION
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State | MI
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Zip | 48359-2071
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Country | US
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Telephone | 248-819-9532
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 180499
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City | UTICA
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State | MI
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Zip | 48318-0499
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Country | US
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Telephone | 248-819-9532
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Fax | 586-799-7361
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | VENICE UGENNIE BLAKE-MCGIBBON
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Credential |
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Telephone | 248-819-9532
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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