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General NPI Number Information
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NPI Number | 1346573573
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Entity Type | Organization
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Legal Business Name | EXTENDING HANDS UNLIMITED
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Dates
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Enumeration Date | 09/04/2009
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Last Update Date | 09/04/2009
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Provider Practice Location Address
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Address Line | 4342 ATLANTIC AVENUE SUITE B
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City | LONG BEACH
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State | CA
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Zip | 90807
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Country | US
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Telephone | 562-424-2114
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Fax | 565-424-2116
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Provider Business Mailing Address
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Address Line | 4342 ATLANTIC AVENUE SUITE B
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City | LONG BEACH
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State | CA
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Zip | 90807
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Country | US
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Telephone | 562-424-2114
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Fax | 562-424-2116
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Authorized Official
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Title or Position | CEO
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Name | MR. SAMUEL A GONZALES
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Credential |
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Telephone | 562-547-1826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number | BU20902610
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License Number State | CA
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