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General NPI Number Information
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NPI Number | 1043867492
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Entity Type | Organization
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Legal Business Name | HOPE CENTER LLC
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | EDIFICIO PORRATA PILA 2431 BLVD LUIS A FERRE SUITE 208
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-404-1645
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Fax |
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Provider Business Mailing Address
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Address Line | EDIFICIO PORRATA PILA SUITE 208 2431 BLVD LUIS A FERRE
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-404-1645
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISSETTE NEGRON MARIN
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Credential |
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Telephone | 787-677-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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