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General NPI Number Information
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NPI Number | 1053005157
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Entity Type | Organization
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Legal Business Name | HIBISCUS HEALTH INC
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 7144 13TH PL NW STE 2200
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City | WASHINGTON
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State | DC
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Zip | 20012-2358
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Country | US
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Telephone | 212-729-1089
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Fax |
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Provider Business Mailing Address
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Address Line | 70 N ST SE APT 813
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City | WASHINGTON
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State | DC
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Zip | 20003-4902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE OPERATIONS
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Name | CANDICE ARNOLD
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Credential |
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Telephone | 540-907-2023
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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