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General NPI Number Information
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NPI Number | 1477990950
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Entity Type | Organization
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Legal Business Name | LENDING HAND
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 1025 CATALINA PLACE
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411
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Country | US
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Telephone | 512-695-0785
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 CATALINA PLACE
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411
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Country | US
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Telephone | 512-695-0785
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Fax |
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Authorized Official
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Title or Position | CAREGIVER
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Name | MR. BRANDON MICHAEL RIVERA
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Credential |
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Telephone | 512-695-0785
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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 |
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License Number State |
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