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General NPI Number Information
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NPI Number | 1407641996
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Entity Type | Organization
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Legal Business Name | ANCHOR OF HOPE WELLNESS CORP
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 140 NW 15TH PL
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City | POMPANO BEACH
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State | FL
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Zip | 33060-5463
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Country | US
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Telephone | 954-354-9884
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Fax | 954-551-2606
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Provider Business Mailing Address
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Address Line | 140 NW 15TH PL
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City | POMPANO BEACH
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State | FL
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Zip | 33060-5463
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Country | US
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Telephone | 954-354-9884
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Fax | 954-551-2606
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER SIMILIEN
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Credential |
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Telephone | 954-354-9884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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