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General NPI Number Information
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NPI Number | 1689482028
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Entity Type | Organization
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Legal Business Name | THE FRUIT OF OUR HANDS MINISTRIES
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 7000 INDIANA AVE STE 114
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City | RIVERSIDE
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State | CA
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Zip | 92506-4155
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Country | US
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Telephone | 951-289-9808
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 INDIANA AVE STE 114
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City | RIVERSIDE
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State | CA
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Zip | 92506-4155
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Country | US
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Telephone | 951-289-9808
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MONICA HUNTER
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Credential | PHD
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Telephone | 951-201-0514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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