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General NPI Number Information
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NPI Number | 1952616815
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Entity Type | Organization
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Legal Business Name | CARING HANDS HOME, LLC
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 1508 S 9TH ST
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City | CLINTON
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State | IN
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Zip | 47842-2511
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Country | US
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Telephone | 765-832-6750
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Fax | 765-832-6755
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Provider Business Mailing Address
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Address Line | 1508 S 9TH ST
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City | CLINTON
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State | IN
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Zip | 47842-2511
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Country | US
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Telephone | 765-832-6750
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Fax | 765-832-6755
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Authorized Official
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Title or Position | CEO
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Name | DEBBIE JOVANOVICH
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Credential |
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Telephone | 765-832-6588
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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 | 10-012304-1
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License Number State | IN
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