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General NPI Number Information
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NPI Number | 1972249233
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Entity Type | Organization
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Legal Business Name | H&PANNOINTED HANDS
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 9041 MANSFIELD RD APT 1212
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City | SHREVEPORT
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State | LA
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Zip | 71118-2604
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Country | US
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Telephone | 318-572-5740
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Fax |
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Provider Business Mailing Address
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Address Line | 9041 MANSFIELD RD APT 1212
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City | SHREVEPORT
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State | LA
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Zip | 71118-2604
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Country | US
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Telephone | 318-572-5740
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | MS. TENISHA LASHUN HONGO
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Credential | CNA
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Telephone | 318-572-5740
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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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