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General NPI Number Information
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NPI Number | 1588010052
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Entity Type | Organization
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Legal Business Name | HOPE DIAGNOSTIC, LLC
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 2999 NE 191ST ST SUITE 608
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City | AVENTURA
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State | FL
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Zip | 33180-3123
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Country | US
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Telephone | 786-618-1080
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Fax |
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Provider Business Mailing Address
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Address Line | 2999 NE 191ST ST SUITE 608
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City | AVENTURA
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State | FL
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Zip | 33180-3123
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Country | US
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Telephone | 786-618-1080
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEVEN SHAI GOLD
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Credential |
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Telephone | 786-543-3471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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