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General NPI Number Information
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NPI Number | 1194329235
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Entity Type | Organization
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Legal Business Name | HEARTS TO HANDS CARE, LLC
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 50 UNION AVE STE 5O1E
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City | IRVINGTON
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State | NJ
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Zip | 07111-3262
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Country | US
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Telephone | 973-536-4937
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Fax |
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Provider Business Mailing Address
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Address Line | 50 UNION AVE STE 5O1E
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City | IRVINGTON
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State | NJ
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Zip | 07111-3262
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Country | US
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Telephone | 973-536-4937
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ZAQUINA ZACKERY
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Credential | MSW
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Telephone | 973-563-4937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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