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General NPI Number Information
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NPI Number | 1285996520
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Entity Type | Organization
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Legal Business Name | HANDYHELPLLC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 366 MAPLE ISLAND RD
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City | BURNSVILLE
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State | MN
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Zip | 55306-5504
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Country | US
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Telephone | 651-260-8707
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Fax | 651-330-4077
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Provider Business Mailing Address
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Address Line | 366 MAPLE ISLAND RD
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City | BURNSVILLE
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State | MN
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Zip | 55306-5504
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Country | US
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Telephone | 651-260-8707
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Fax | 651-330-4077
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PHIA TONY XIONG
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Credential | LICSW
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Telephone | 651-260-8707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 17877
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License Number State | MN
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