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General NPI Number Information
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NPI Number | 1457807554
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Entity Type | Organization
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Legal Business Name | HEALING HANDS OT LLC
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 11517 CHERISSE DR
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City | AUSTIN
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State | TX
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Zip | 78739-1996
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Country | US
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Telephone | 512-766-0237
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Fax |
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Provider Business Mailing Address
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Address Line | 11517 CHERISSE DR
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City | AUSTIN
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State | TX
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Zip | 78739-1996
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Country | US
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Telephone | 512-766-0237
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | ESTHER COATES
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Credential |
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Telephone | 512-766-0237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 113881
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License Number State | TX
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