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General NPI Number Information
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NPI Number | 1063083079
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Entity Type | Organization
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Legal Business Name | GROWING HEARTS INC
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 14747 ORANGE BLVD
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-4577
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Country | US
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Telephone | 561-667-5349
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Fax |
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Provider Business Mailing Address
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Address Line | 14747 ORANGE BLVD
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-4577
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Country | US
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Telephone | 561-667-5349
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOELMY SANTANA
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Credential |
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Telephone | 561-667-5349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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