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General NPI Number Information
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NPI Number | 1235056730
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Entity Type | Organization
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Legal Business Name | HOPE RESTORED BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 07/04/2026
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Last Update Date | 07/04/2026
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Provider Practice Location Address
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Address Line | 2101 VISTA PKWY STE 291
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2706
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Country | US
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Telephone | 954-818-4506
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Fax | 856-329-8719
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Provider Business Mailing Address
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Address Line | 3066 BOLLARD RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-6422
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Country | US
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Telephone | 954-818-4506
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Fax | 856-329-8719
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Authorized Official
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Title or Position | OWNER
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Name | MRS. URSULA AVILUS
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Credential | APRN
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Telephone | 954-818-4506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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