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General NPI Number Information
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NPI Number | 1417808270
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Entity Type | Organization
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Legal Business Name | A HAND UP REHABILITATION SERVICES, INC.
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 718 BOWMAR AVE
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City | VICKSBURG
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State | MS
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Zip | 39180-4603
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Country | US
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Telephone | 850-363-0012
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Fax |
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Provider Business Mailing Address
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Address Line | 1651 OAK RIDGE RD
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City | VICKSBURG
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State | MS
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Zip | 39183-9310
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Country | US
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Telephone | 817-800-0612
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. TRIVA WATTS SANDERS
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Credential | CRC, CCSCC
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Telephone | 817-800-0612
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA0900X
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Taxonomy Name | Amputee Clinic/Center
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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