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General NPI Number Information
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NPI Number | 1518774801
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Entity Type | Organization
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Legal Business Name | ASSISTING HANDS
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 5501 EXECUTIVE CENTER DR STE 213
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City | CHARLOTTE
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State | NC
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Zip | 28212-8823
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Country | US
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Telephone | 704-201-7305
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Fax |
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Provider Business Mailing Address
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Address Line | 5501 EXECUTIVE CENTER DR STE 213
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City | CHARLOTTE
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State | NC
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Zip | 28212-8823
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Country | US
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Telephone | 704-201-7305
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | CRYSTAL MAHARIDGE
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Credential |
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Telephone | 440-366-5628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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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 |
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