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General NPI Number Information
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NPI Number | 1578479598
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Entity Type | Organization
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Legal Business Name | HOPE MEDICAL GROUP, INC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 5008 W NORTHERN AVE STE 14
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City | GLENDALE
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State | AZ
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Zip | 85301-1570
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Country | US
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Telephone | 786-554-2254
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Fax |
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Provider Business Mailing Address
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Address Line | 15013 SW 63RD ST
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City | MIAMI
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State | FL
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Zip | 33193-2772
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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 | OWNER
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Name | YAQUELIN RODRIGUEZ
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Credential | PA
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Telephone | 786-554-2254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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