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General NPI Number Information
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NPI Number | 1689282162
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Entity Type | Organization
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Legal Business Name | HEALING HANDS HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 1900 N BAYSHORE DR APT 2411
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City | MIAMI
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State | FL
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Zip | 33132-3012
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Country | US
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Telephone | 314-324-4631
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 N BAYSHORE DR APT 2411
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City | MIAMI
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State | FL
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Zip | 33132-3012
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Country | US
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Telephone | 314-324-4631
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | DR. EBONI JANUARY
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Credential | MD
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Telephone | 314-324-4631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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