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General NPI Number Information
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NPI Number | 1679158604
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Entity Type | Organization
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Legal Business Name | HEART & LIFE COMMUNITY CENTER INC
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Dates
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Enumeration Date | 03/11/2021
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 801 N MAGNOLIA AVE STE 409
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City | ORLANDO
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State | FL
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Zip | 32803-3861
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Country | US
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Telephone | 321-655-5554
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Fax | 407-264-8254
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Provider Business Mailing Address
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Address Line | 801 N MAGNOLIA AVE STE 409
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City | ORLANDO
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State | FL
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Zip | 32803-3861
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Country | US
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Telephone | 321-655-5554
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Fax | 407-264-8254
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Authorized Official
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Title or Position | PRESIDENT
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Name | ODALYS DUARTE
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Credential |
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Telephone | 321-655-5554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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