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General NPI Number Information
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NPI Number | 1285342824
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Entity Type | Organization
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Legal Business Name | HOPE PROGRESSIVE THERAPY SERVICES INC
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 8950 SW 74TH CT # 2259
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City | MIAMI
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State | FL
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Zip | 33156-3171
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Country | US
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Telephone | 786-363-0256
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Fax | 305-675-6116
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Provider Business Mailing Address
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Address Line | 14911 SW 88TH TER
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City | MIAMI
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State | FL
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Zip | 33196-1402
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Country | US
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Telephone | 305-300-4673
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MIOVANNY MARTIN PEREZ
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Credential |
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Telephone | 305-300-4673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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