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General NPI Number Information
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NPI Number | 1326586629
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Entity Type | Organization
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Legal Business Name | SIGNS OF HOPE GLOBAL
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 618 CALLAHAN ST
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City | WINTER PARK
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State | FL
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Zip | 32789-3009
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Country | US
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Telephone | 310-292-2830
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 617474
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City | ORLANDO
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State | FL
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Zip | 32861-7474
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Country | US
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Telephone | 310-292-2830
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Fax |
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Authorized Official
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Title or Position | OWNER/TCM/CLINICAL SUPERVISOR
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Name | MR. SAMUEL PIERRELOUIS
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Credential | B.A.,
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Telephone | 310-292-2830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1487105227
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License Number State | FL
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