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NPI 1992552012

NPI 1992552012 : PILLARS OF HEARTS LLC : DUNNELLON, FL

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General NPI Number Information
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    NPI Number           |    1992552012
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    Entity Type          |    Organization 
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    Legal Business Name  |    PILLARS OF HEARTS LLC 
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Dates
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    Enumeration Date     |    05/06/2024
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    Last Update Date     |    08/23/2025
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Provider Practice Location Address
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    Address Line         |    19874 SW 57TH ST 
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    City                 |    DUNNELLON
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    State                |    FL
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    Zip                  |    34431-4612
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    Country              |    US
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    Telephone            |    352-209-6787
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    Fax                  |    877-570-9826
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Provider Business Mailing Address
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    Address Line         |    19874 SW 57TH ST 
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    City                 |    DUNNELLON
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    State                |    FL
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    Zip                  |    34431-4612
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    Country              |    US
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    Telephone            |    352-209-6787
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CORONE  REID 
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    Credential           |    
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    Telephone            |    352-209-6787
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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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