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General NPI Number Information
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NPI Number | 1033000401
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Entity Type | Organization
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Legal Business Name | HEALING HANDS RESTORATIVE MEDICINE INC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 17351 MELFORD BLVD
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City | BOWIE
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State | MD
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Zip | 20715-4457
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Country | US
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Telephone | 727-742-5721
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Fax | 702-977-1496
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Provider Business Mailing Address
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Address Line | 30725 US HIGHWAY 19 N STE 277
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City | PALM HARBOR
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State | FL
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Zip | 34684-4400
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Country | US
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Telephone | 727-742-5721
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Fax | 702-977-1496
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Authorized Official
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Title or Position | OWNER
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Name | KACEY CALLISON
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Credential |
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Telephone | 725-710-9224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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