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General NPI Number Information
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NPI Number | 1659052777
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Entity Type | Organization
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Legal Business Name | HELPING HANDS & HEALING HEARTS P.S. INC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 1801 IMPERIAL BLVD
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City | BARTOW
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State | FL
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Zip | 33830-9431
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Country | US
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Telephone | 407-419-1464
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2502
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City | BARTOW
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State | FL
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Zip | 33831-2502
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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 | PRESIDENT
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Name | CAROLYN DIVERS
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Credential | LCSW
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Telephone | 407-419-1464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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