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General NPI Number Information
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NPI Number | 1912853557
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Entity Type | Organization
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Legal Business Name | GENTLE HANDS GROUP HOME INC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 10332 BERRYESSA AVE
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City | RIVERVIEW
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State | FL
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Zip | 33578-9311
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Country | US
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Telephone | 813-748-4010
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Fax | 813-515-7013
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Provider Business Mailing Address
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Address Line | 10332 BERRYESSA AVE
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City | RIVERVIEW
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State | FL
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Zip | 33578-9311
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Country | US
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Telephone | 813-748-4010
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Fax | 813-515-7013
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YASIT CID
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Credential |
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Telephone | 813-748-4010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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