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General NPI Number Information
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NPI Number | 1346730975
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Entity Type | Organization
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Legal Business Name | HEALTH NATURALLY BY DR HANOI
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 05/18/2018
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Provider Practice Location Address
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Address Line | 600 NE 2ND ST APT 408
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City | DANIA BEACH
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State | FL
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Zip | 33004-3325
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Country | US
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Telephone | 954-794-8753
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Fax |
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Provider Business Mailing Address
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Address Line | 600 NE 2ND ST APT 408
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City | DANIA BEACH
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State | FL
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Zip | 33004-3325
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Country | US
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Telephone | 954-794-8753
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HANOI GONZALEZ
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Credential | DOM
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Telephone | 954-794-8753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AP3170
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License Number State | FL
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