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NPI 1215514443

NPI 1215514443 : HELPING HANDS ON THE SHORE : ATLANTIC, VA

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General NPI Number Information
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    NPI Number           |    1215514443
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    Entity Type          |    Organization 
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    Legal Business Name  |    HELPING HANDS ON THE SHORE 
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Dates
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    Enumeration Date     |    03/25/2021
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    Last Update Date     |    03/25/2021
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Provider Practice Location Address
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    Address Line         |    32380 NOCKS LANDING RD 
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    City                 |    ATLANTIC
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    State                |    VA
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    Zip                  |    23303-2626
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    Country              |    US
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    Telephone            |    757-328-1948
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 614 
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    City                 |    ATLANTIC
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    State                |    VA
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    Zip                  |    23303-0614
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    Country              |    US
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    Telephone            |    757-328-1948
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    Fax                  |    
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Authorized Official
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    Title or Position    |    QMHP
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    Name                 |     TRACY  TURNER 
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    Credential           |    QMHP MBA
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    Telephone            |    757-328-1948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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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        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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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        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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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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Taxonomy #8
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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