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General NPI Number Information
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NPI Number | 1548629470
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Entity Type | Organization
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Legal Business Name | HELPING HANDS RESIDENTIAL CARE LLC
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Dates
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Enumeration Date | 02/20/2016
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 13734 RIVERBANK PASS
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City | HELOTES
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State | TX
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Zip | 78023-3637
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Country | US
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Telephone | 210-557-5344
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Fax |
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Provider Business Mailing Address
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Address Line | 13734 RIVERBANK PASS
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City | HELOTES
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State | TX
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Zip | 78023-3637
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Country | US
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Telephone | 210-557-5344
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. WESLEY KENT GREYDANUS
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Credential | M.D.
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Telephone | 210-557-5344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | M6155
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License Number State | TX
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