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General NPI Number Information
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NPI Number | 1598941726
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Entity Type | Organization
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Legal Business Name | HEALING HANDS HEALTH CARE LLC
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 11020 AUDELIA RD B106
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City | DALLAS
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State | TX
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Zip | 75243-9030
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Country | US
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Telephone | 214-343-2200
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Fax | 214-343-2204
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Provider Business Mailing Address
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Address Line | PO BOX 851753
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City | RICHARDSON
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State | TX
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Zip | 75085-1753
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MR. PATRICK BOUVIER HENDERSON
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Credential |
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Telephone | 214-766-0348
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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 | TX
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