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General NPI Number Information
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NPI Number | 1558146738
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Entity Type | Organization
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Legal Business Name | HOPEFUL HARMONY MENTAL HEALTH LLC
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 09/24/2023
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Provider Practice Location Address
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Address Line | 603 FULTON RD
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City | TALLAHASSEE
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State | FL
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Zip | 32312-2223
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Country | US
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Telephone | 850-583-1723
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Fax | 850-367-6273
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Provider Business Mailing Address
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Address Line | 2241 N MONROE ST # 1621
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City | TALLAHASSEE
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State | FL
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Zip | 32303-4731
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Country | US
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Telephone | 850-583-1723
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Fax | 850-367-6273
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Authorized Official
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Title or Position | REGISTERED AGENT/OWNER
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Name | MS. SHAQUITIA JONES
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Credential | APRN
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Telephone | 850-583-1723
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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