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General NPI Number Information
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NPI Number | 1386929560
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Entity Type | Organization
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Legal Business Name | HEAVENS CARING HEARTS HEALTHCARE SERVICES
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 10974 SW 184 STREET
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City | MIAMI
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State | FL
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Zip | 33157
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Country | US
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Telephone | 786-319-7382
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Fax |
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Provider Business Mailing Address
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Address Line | POB 343247
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City | HOMESTEAD
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State | FL
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Zip | 33034
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Country | US
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Telephone | 786-319-7382
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLYN WORDLY SMITH
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Credential | ARNP-BC
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Telephone | 786-319-7382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9164257
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License Number State | FL
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