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General NPI Number Information
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NPI Number | 1215523980
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Entity Type | Organization
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Legal Business Name | PEACE AND HEART MIND CARE, LLC
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Dates
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Enumeration Date | 12/17/2020
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 7603 DAVIE ROAD EXT
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2623
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Country | US
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Telephone | 888-307-2199
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Fax | 509-495-1166
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Provider Business Mailing Address
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Address Line | 8362 PINES BLVD # 134
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6600
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Country | US
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Telephone | 509-345-7027
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Fax | 509-495-1166
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Authorized Official
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Title or Position | CEO
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Name | DR. DOROTHY CHATELIER-ORELUS
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Credential | APRN, DNP, PMHNP
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Telephone | 888-307-2199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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