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General NPI Number Information
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NPI Number | 1174061113
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Entity Type | Organization
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Legal Business Name | MEDICAL HOLISTIC SOLUTIONS LLC
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Dates
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Enumeration Date | 02/10/2017
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | 811 SE 8TH AVE STE 101
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-5644
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Country | US
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Telephone | 561-503-7038
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Fax | 561-508-7197
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Provider Business Mailing Address
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Address Line | 811 SE 8TH AVE STE 12
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-5644
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | VERONICA HERNANDEZ
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Credential |
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Telephone | 954-203-3584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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