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General NPI Number Information
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NPI Number | 1366722845
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Entity Type | Organization
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Legal Business Name | NEW HOPE MEDICAL GROUP LLC
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Dates
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Enumeration Date | 08/28/2011
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 4301 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33313-6749
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Country | US
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Telephone | 954-514-7712
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Fax | 954-533-5193
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Provider Business Mailing Address
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Address Line | 4301 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33313-6749
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Country | US
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Telephone | 954-514-7712
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Fax | 954-533-5193
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | DR. AROLD JOSEPH AUGUSTIN
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Credential | MD
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Telephone | 954-514-7712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME72155
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License Number State | FL
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