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General NPI Number Information
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NPI Number | 1013517846
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Entity Type | Organization
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Legal Business Name | HEALING HANDS BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 14240 W SIDE BLVD APT 205
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City | LAUREL
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State | MD
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Zip | 20707-6237
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Country | US
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Telephone | 443-803-4837
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Fax |
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Provider Business Mailing Address
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Address Line | 14240 W SIDE BLVD APT 205
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City | LAUREL
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State | MD
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Zip | 20707-6237
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Country | US
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Telephone | 443-803-4837
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ERIC ANGEME AMENE
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Credential | NURSE PRACTITIONER
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Telephone | 443-803-4837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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