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General NPI Number Information
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NPI Number | 1386408573
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Entity Type | Organization
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Legal Business Name | CREATIVE HEARTS HEALTH, LLC
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 16321 NW 18TH PLACE
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City | MIAMI GARDENS
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State | FL
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Zip | 33054
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Country | US
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Telephone | 954-386-1005
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Fax | 999-999-9999
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Provider Business Mailing Address
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Address Line | 2630 W BROWARD BLVD STE 203-2055
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1314
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Country | US
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Telephone | 786-676-3864
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHARLES THOMAS II
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Credential |
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Telephone | 954-386-1005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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