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General NPI Number Information
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NPI Number | 1366728933
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Entity Type | Organization
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Legal Business Name | EXTENDED HANDS
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 1330 HEATHER RUN DR
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City | DUNCANVILLE
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State | TX
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Zip | 75137-3519
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Country | US
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Telephone | 214-809-4161
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 HEATHER RUN DR
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City | DUNCANVILLE
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State | TX
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Zip | 75137-3519
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Country | US
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Telephone | 214-809-4161
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BECKY L WOODSON
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Credential |
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Telephone | 214-809-4161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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