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General NPI Number Information
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NPI Number | 1174780803
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Entity Type | Organization
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Legal Business Name | HSHP INC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 1205 SW 37TH AVE
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City | MIAMI
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State | FL
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Zip | 33135-4226
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Country | US
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Telephone | 305-448-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 SW 37TH AVE
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City | MIAMI
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State | FL
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Zip | 33135-4226
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Country | US
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Telephone | 305-448-8100
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | MS. MARI DE LA LLAMA
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Credential |
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Telephone | 305-448-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | H5431
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License Number State | FL
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