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General NPI Number Information
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NPI Number | 1871920736
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Entity Type | Organization
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Legal Business Name | HELPING HANDS FOUNDATION OF HAVANA
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Dates
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Enumeration Date | 10/08/2013
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 186 CHINA BERRY LN
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City | HAVANA
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State | FL
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Zip | 32333-3663
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Country | US
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Telephone | 850-539-8215
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Fax | 850-539-5390
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Provider Business Mailing Address
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Address Line | 186 CHINA BERRY LN
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City | HAVANA
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State | FL
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Zip | 32333-3663
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Country | US
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Telephone | 850-539-8215
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Fax | 850-539-5390
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MRS. ERNESTINE PLATT
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Credential | RN
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Telephone | 850-539-8215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | AL7500
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | AL7500
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License Number State | FL
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