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General NPI Number Information
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NPI Number | 1962136093
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Entity Type | Organization
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Legal Business Name | INFINITY LOVING HEART, LLC
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 500 E COURT ST UNIT 101
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City | SIDNEY
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State | OH
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Zip | 45365-3803
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Country | US
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Telephone | 937-506-6337
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1414
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City | PIQUA
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State | OH
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Zip | 45356-1014
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Country | US
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Telephone | 937-506-6337
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STACY BRYANT
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Credential |
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Telephone | 937-506-6337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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