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General NPI Number Information
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NPI Number | 1396626776
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Entity Type | Organization
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Legal Business Name | NEW HOPE PEDIATRIC SERVICE LLC.
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 4530 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33126-2307
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Country | US
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Telephone | 786-337-5117
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Fax |
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Provider Business Mailing Address
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Address Line | 9044 NW 148TH ST
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City | MIAMI LAKES
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State | FL
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Zip | 33018-7313
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Country | US
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Telephone | 786-337-5117
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAHIMY AVILA
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Credential | ARNP
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Telephone | 786-337-5117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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