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General NPI Number Information
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NPI Number | 1083089114
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Entity Type | Organization
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Legal Business Name | HELPING HAND MIRACLES FOUNDATION, LLC
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 4000 HOLLYWOOD BLVD SUITE 555-SOUTH
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6751
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Country | US
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Telephone | 954-274-0772
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 HOLLYWOOD BLVD SUITE 555SOUTH
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-274-0772
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MISS MICHELLE ROSE-MARIE DESARMES
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Credential | RN
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Telephone | 954-274-0772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 163W00000X
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License Number State | FL
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