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General NPI Number Information
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NPI Number | 1376708768
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Entity Type | Organization
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Legal Business Name | HEALING HANDS PROVIDER SERVICE, LLC
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 10/09/2018
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Provider Practice Location Address
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Address Line | 6510 POLARIS DR STE 4
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City | LAREDO
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State | TX
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Zip | 78041
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Country | US
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Telephone | 956-284-0768
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Fax | 956-568-8994
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Provider Business Mailing Address
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Address Line | 6510 POLARIS DR STE 4
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City | LAREDO
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State | TX
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Zip | 78041
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Country | US
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Telephone | 956-284-0768
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Fax | 956-568-8994
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | IRMA MAYELA CEPEDA
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Credential | RN
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Telephone | 956-284-0768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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