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General NPI Number Information
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NPI Number | 1477015709
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Entity Type | Organization
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Legal Business Name | HIGHER REACHING HANDS
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 13680 WILMOT ST
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City | MORENO VALLEY
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State | CA
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Zip | 92555
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Country | US
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Telephone | 626-221-2426
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Fax | 951-602-6921
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Provider Business Mailing Address
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Address Line | 13680 WILMOT ST
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City | MORENO VALLEY
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State | CA
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Zip | 92555-8235
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Country | US
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Telephone | 626-221-2426
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Fax | 951-602-6921
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Authorized Official
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Title or Position | DIRECTOR OF REHABILITATION
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Name | TREVOR MICHAEL STEGEN
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Credential | OTA/L
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Telephone | 626-221-2426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health 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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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