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General NPI Number Information
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NPI Number | 1316106909
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Entity Type | Organization
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Legal Business Name | HELP IS ON THE WAY INC
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 721 GILMORE AVENUE
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City | LAKELAND
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State | FL
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Zip | 33801
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Country | US
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Telephone | 863-682-6374
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Fax | 775-361-2175
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Provider Business Mailing Address
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Address Line | 721 GILMORE AVENUE
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City | LAKELAND
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State | FL
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Zip | 33801
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Country | US
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Telephone | 863-682-6374
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Fax | 775-361-2175
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. SAMUEL RANARD COOPER
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Credential |
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Telephone | 863-682-6374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 14GH01134
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 14GH01134
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License Number State | FL
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