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General NPI Number Information
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NPI Number | 1184489304
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Entity Type | Organization
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Legal Business Name | HELP FOR NEURODIVERSE KIDS CORPORATION
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 405 N LEXINGTON PKWY
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City | DEFOREST
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State | WI
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Zip | 53532-1015
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Country | US
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Telephone | 608-556-6399
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Fax |
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Provider Business Mailing Address
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Address Line | 405 N LEXINGTON PKWY
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City | DEFOREST
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State | WI
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Zip | 53532-1015
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Country | US
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Telephone | 608-556-6399
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISTI PHOENIX
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Credential |
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Telephone | 608-556-6399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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