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General NPI Number Information
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NPI Number | 1164397642
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Entity Type | Organization
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Legal Business Name | SMILE AND HOPES HEALTH CARE LLC
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 529 NW PRIMA VISTA BLVD STE 301L
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-8790
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Country | US
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Telephone | 772-289-8530
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Fax | 772-673-0545
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Provider Business Mailing Address
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Address Line | 529 NW PRIMA VISTA BLVD STE 301L
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-8790
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Country | US
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Telephone | 772-289-8530
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Fax | 772-673-0545
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Authorized Official
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Title or Position | OWNER
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Name | ALIEN AJETE MENA
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Credential |
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Telephone | 772-708-4287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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