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General NPI Number Information
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NPI Number | 1780909515
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Entity Type | Organization
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Legal Business Name | HEART, HEAD & HAND, INC.
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 07/18/2010
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Provider Practice Location Address
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Address Line | 59 BAYSIDE DR
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City | PALM COAST
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State | FL
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Zip | 32137-8871
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Country | US
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Telephone | 386-986-8662
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Fax | 386-447-7320
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Provider Business Mailing Address
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Address Line | 59 BAYSIDE DR
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City | PALM COAST
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State | FL
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Zip | 32137-8871
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Country | US
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Telephone | 386-986-8662
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Fax | 386-447-7320
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD FAY
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Credential | LCSW
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Telephone | 386-986-8662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | FL
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