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General NPI Number Information
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NPI Number | 1629566112
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Entity Type | Organization
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Legal Business Name | HORIZON OF HOPE RECOVERY CENTER LLC
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 1840 W 49TH ST STE 606
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City | HIALEAH
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State | FL
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Zip | 33012-2962
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Country | US
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Telephone | 305-331-2083
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Fax |
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Provider Business Mailing Address
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Address Line | 1840 W 49TH ST STE 606
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City | HIALEAH
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State | FL
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Zip | 33012-2962
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Country | US
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Telephone | 305-331-2083
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DANIEL PACHECO
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Credential |
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Telephone | 305-331-2083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 177F00000X
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Taxonomy Name | Lodging Provider
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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