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General NPI Number Information
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NPI Number | 1790220465
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Entity Type | Organization
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Legal Business Name | HOLDING HANDS AUTISM, LLC
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Dates
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Enumeration Date | 01/04/2017
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | HOLDING HANDS AUTISM, LLC 1870 N CORPORATE LAKES BLVD UNIT 268672
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City | WESTON
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State | FL
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Zip | 33326-2184
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Country | US
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Telephone | 305-510-6423
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Fax |
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Provider Business Mailing Address
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Address Line | HOLDING HANDS AUTISM, LLC 1870 N CORPORATE LAKES BLVD UNIT 268672
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City | WESTON
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State | FL
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Zip | 33326-2184
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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 | FOUNDER/OWNER
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Name | STEPHANIE FUENTES
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Credential | LMHC
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Telephone | 305-510-6423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH10778
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License Number State | FL
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