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General NPI Number Information
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NPI Number | 1619168895
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Entity Type | Organization
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Legal Business Name | GIFTED HANDS INC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 5187 SPANISH OAKS LN
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City | LAKELAND
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State | FL
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Zip | 33805-7680
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Country | US
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Telephone | 863-868-9029
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Fax | 863-868-9029
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Provider Business Mailing Address
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Address Line | 5187 SPANISH OAKS LN
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City | LAKELAND
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State | FL
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Zip | 33805-7680
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Country | US
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Telephone | 863-868-9029
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Fax | 863-868-9029
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MS. ANGELA CHRISTIAN MOORE
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Credential |
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Telephone | 863-701-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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