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General NPI Number Information
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NPI Number | 1114492394
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Entity Type | Organization
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Legal Business Name | HEALING WOUNDS, HAPPIER HEARTS, LLC
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 8852 SW 25TH ST
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City | MIAMI
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State | FL
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Zip | 33165-2019
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Country | US
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Telephone | 786-897-1748
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Fax |
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Provider Business Mailing Address
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Address Line | 8852 SW 25TH ST
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City | MIAMI
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State | FL
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Zip | 33165-2019
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Country | US
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Telephone | 786-897-1748
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Fax | 786-524-3165
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSUE ALBERTO MORAN
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Credential | DNP, APRN, AGPCNP-BC
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Telephone | 786-897-1748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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