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General NPI Number Information
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NPI Number | 1063274181
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Entity Type | Organization
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Legal Business Name | HEAL AND GROW INC
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 3340 GRIFFIN RD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-5519
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Country | US
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Telephone | 786-848-8345
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Fax |
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Provider Business Mailing Address
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Address Line | 9533 EL CLAIR RANCH RD
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3341
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Country | US
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Telephone | 786-848-8345
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SHARRONE LEE HARWOOD
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Credential |
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Telephone | 786-848-8345
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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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