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General NPI Number Information
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NPI Number | 1356799761
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Entity Type | Organization
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Legal Business Name | SMALL HANDS BIG HOPES INC.
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 135 SHERIDAN AVE
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City | FORT THOMAS
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State | KY
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Zip | 41075-2513
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Country | US
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Telephone | 859-750-1213
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Fax | 859-441-2771
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Provider Business Mailing Address
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Address Line | 135 SHERIDAN AVE
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City | FORT THOMAS
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State | KY
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Zip | 41075-2513
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Country | US
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Telephone | 859-750-1213
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Fax | 859-441-2771
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Authorized Official
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Title or Position | PRESIDENT OF SMALL HANDS BIG HOPES
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Name | MRS. ALICE ANN RICHTER
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Credential | MASTER SPECIAL ED.
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Telephone | 859-750-1213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 200186408
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License Number State | KY
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