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NPI 1962140830

NPI 1962140830 : HEART 2 HEART HEALTHCARE SERVICES LLC : AUBREY, TX

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General NPI Number Information
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    NPI Number           |    1962140830
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEART 2 HEART HEALTHCARE SERVICES LLC 
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Dates
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    Enumeration Date     |    05/21/2022
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    Last Update Date     |    07/15/2022
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Provider Practice Location Address
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    Address Line         |    5108 PAVILION WAY 
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    City                 |    AUBREY
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    State                |    TX
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    Zip                  |    76227-1930
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    Country              |    US
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    Telephone            |    972-955-2840
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5108 PAVILION WAY 
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    City                 |    AUBREY
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    State                |    TX
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    Zip                  |    76227-1930
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    Country              |    US
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    Telephone            |    972-955-2840
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     MICHAEL  GREEN 
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    Credential           |    COTA
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    Telephone            |    972-955-2840
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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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