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NPI 1235810839

NPI 1235810839 : OUR LOVING HANDS LLC : GLENDALE, AZ

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General NPI Number Information
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    NPI Number           |    1235810839
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    Entity Type          |    Organization 
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    Legal Business Name  |    OUR LOVING HANDS LLC 
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Dates
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    Enumeration Date     |    07/26/2023
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    Last Update Date     |    08/03/2023
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Provider Practice Location Address
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    Address Line         |    15410 N 67TH AVE STE 8 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85306-2830
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    Country              |    US
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    Telephone            |    623-418-9747
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15410 N 67TH AVE STE 8 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85306-2830
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    Country              |    US
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    Telephone            |    623-418-9747
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     OMEGA  ALAMIN 
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    Credential           |    
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    Telephone            |    623-418-9747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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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        |    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 #3
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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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        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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