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General NPI Number Information
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NPI Number | 1053371211
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Entity Type | Organization
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Legal Business Name | GOOD HOPE EQUESTRIAN TRAINING CENTER, INC.
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 22155 SW 147TH AVE
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City | MIAMI
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State | FL
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Zip | 33170-4201
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Country | US
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Telephone | 305-258-2838
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Fax | 305-258-2902
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Provider Business Mailing Address
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Address Line | PO BOX 700016
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City | MIAMI
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State | FL
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Zip | 33170-0016
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Country | US
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Telephone | 305-258-2838
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Fax | 305-258-2902
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MARGARET MARY BASS
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Credential | PHD
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Telephone | 305-258-2838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 9858
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License Number State | FL
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Taxonomy #2
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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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