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General NPI Number Information
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NPI Number | 1902029200
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Entity Type | Organization
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Legal Business Name | HELPING HAND HOME FOR CHILDREN
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 3804 AVENUE B
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City | AUSTIN
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State | TX
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Zip | 78751-4906
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Country | US
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Telephone | 512-459-3353
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Fax | 512-459-1658
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Provider Business Mailing Address
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Address Line | 3804 AVENUE B
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City | AUSTIN
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State | TX
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Zip | 78751-4906
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Country | US
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Telephone | 512-459-3353
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Fax | 512-459-1658
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. ANN BRESTRUP
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Credential | LCSW
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Telephone | 512-459-3353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 66232
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License Number State | TX
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