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General NPI Number Information
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NPI Number | 1578362257
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HEALING INSTITUTE LLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 809 CORAL RIDGE DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-4180
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Country | US
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Telephone | 561-679-1139
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Fax |
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Provider Business Mailing Address
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Address Line | 809 CORAL RIDGE DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-4180
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LISSETTE CORTES
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Credential |
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Telephone | 786-556-6592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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