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General NPI Number Information
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NPI Number | 1710382445
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Entity Type | Organization
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Legal Business Name | CLAPPING HANDS IN YOUR HOME
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 3999 24TH ST W 203
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City | BRADENTON
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State | FL
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Zip | 34205-4400
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Country | US
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Telephone | 941-704-6942
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Fax | 941-758-7238
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Provider Business Mailing Address
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Address Line | 3999 24TH ST W 203
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City | BRADENTON
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State | FL
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Zip | 34205-4400
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Country | US
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Telephone | 941-704-6942
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Fax | 941-758-7238
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | BRANDI MYRICK
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Credential |
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Telephone | 941-704-6942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 233174
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License Number State | FL
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