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General NPI Number Information
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NPI Number | 1063502367
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Entity Type | Organization
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Legal Business Name | LA ESPERANZA/HOPE LLC
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Dates
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Enumeration Date | 10/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1025 S SEMORAN BLVD SUITE 228
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City | WINTER PARK
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State | FL
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Zip | 32792-5523
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Country | US
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Telephone | 407-482-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 11929 E COLONIAL DR SUITE 178
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City | ORLANDO
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State | FL
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Zip | 32826-4700
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Country | US
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Telephone | 407-267-2026
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Fax |
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | MS. KAREN RESCENDE
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Credential | LCSW
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Telephone | 14074821400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | SW7490
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License Number State | FL
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