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General NPI Number Information
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NPI Number | 1316293038
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Entity Type | Organization
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Legal Business Name | HELPING HANDS OUTREACH INCORPORATED
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 07/31/2012
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Provider Practice Location Address
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Address Line | 4296 E STONEBRIDGE DR
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City | MERIDIAN
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State | ID
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Zip | 83642
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Country | US
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Telephone | 208-954-1523
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Fax | 417-521-5625
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Provider Business Mailing Address
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Address Line | 4296 E STONEBRIDGE DR
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City | MERIDIAN
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State | ID
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Zip | 83642-8922
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Country | US
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Telephone | 208-954-1523
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. ERIC RAYMONDO DAVENPORT
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Credential |
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Telephone | 208-954-1523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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