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General NPI Number Information
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NPI Number | 1184920951
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Entity Type | Organization
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Legal Business Name | ST. LUCIE COUNTY HEALTH ACCESS NETWORK, INC. DBA/ HANDS
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 12/22/2016
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Provider Practice Location Address
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Address Line | 3855 S US HIGHWAY 1 SUITE B
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City | FORT PIERCE
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State | FL
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Zip | 34982-6621
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Country | US
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Telephone | 772-344-2541
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Fax | 772-344-2544
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Provider Business Mailing Address
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Address Line | 3855 S US HIGHWAY 1 SUITE B
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City | FORT PIERCE
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State | FL
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Zip | 34982
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Country | US
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Telephone | 772-344-2541
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Fax | 772-344-2544
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Authorized Official
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Title or Position | EXCUTIVE DIRECTOR
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Name | DR. ANDREW PASSERI
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Credential | PH.D., LFACHE
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Telephone | 772-344-2548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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