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General NPI Number Information
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NPI Number | 1558487371
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Entity Type | Organization
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Legal Business Name | ONE HOPE UNITED, FL REGION INC.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 5749 WESTGATE DR. SUITE 202
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City | ORLANDO
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State | FL
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Zip | 32835-9991
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Country | US
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Telephone | 407-379-2900
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Fax | 407-378-5344
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Provider Business Mailing Address
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Address Line | 5749 WESTGATE DR. SUITE 202
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City | ORLANDO
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State | FL
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Zip | 32835-9991
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Country | US
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Telephone | 407-379-2900
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Fax | 407-378-5344
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Authorized Official
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Title or Position | FL REGION BUSINESS MANAGER
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Name | MS. JOLENE PALAZZO
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Credential | M.B.A.
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Telephone | 407-379-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW8213
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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