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General NPI Number Information
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NPI Number | 1376457820
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Entity Type | Organization
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Legal Business Name | HOLISTIC HERO FOUNDATION, INC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 934 SHADY CREEK LN
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City | BEDFORD
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State | TX
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Zip | 76021-4243
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Country | US
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Telephone | 940-782-4811
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Fax |
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST # 4164
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LARRY SANDERS
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Credential | BCBA, LBA, ED.S.
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Telephone | 940-782-4811
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | NULL
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