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General NPI Number Information
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NPI Number | 1699951574
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Entity Type | Organization
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Legal Business Name | ONE HOPE UNITED- FLORIDA REGION, INC
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 10720 CARIBBEAN BLVD SUITE 330
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City | CUTLER BAY
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State | FL
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Zip | 33189
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Country | US
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Telephone | 786-712-0492
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Fax | 786-242-5080
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Provider Business Mailing Address
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Address Line | 10720 CARIBBEAN BLVD SUITE 500
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City | CUTLER BAY
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State | FL
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Zip | 33189
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Country | US
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Telephone | 786-573-9000
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Fax | 786-573-9003
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Authorized Official
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Title or Position | BUSINESS MANAGER-FLORIDA REGION
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Name | MRS. JOLENE M. PALAZOO-FORD
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Credential | MBA
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Telephone | 407-399-2038
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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 | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW5817
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | SW5817
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License Number State | FL
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