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General NPI Number Information
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NPI Number | 1033951942
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Entity Type | Organization
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Legal Business Name | H O P E MENTAL HEALTHCARE LLC
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Dates
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Enumeration Date | 06/11/2024
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 14201 W SUNRISE BLVD STE 104
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City | SUNRISE
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State | FL
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Zip | 33323-3207
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Country | US
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Telephone | 954-593-7759
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Fax |
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Provider Business Mailing Address
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Address Line | 14201 W SUNRISE BLVD STE 104
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City | SUNRISE
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State | FL
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Zip | 33323-3207
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Country | US
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Telephone | 954-593-7759
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBRA HAIN
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Credential | ARNP
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Telephone | 954-593-7759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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