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General NPI Number Information
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NPI Number | 1700759974
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Entity Type | Organization
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Legal Business Name | LHA CARE CORPORATION
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1250 E HALLANDALE BEACH BLVD STE 1004
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4636
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Country | US
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Telephone | 954-451-1743
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Fax | 954-838-5336
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Provider Business Mailing Address
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Address Line | 1250 E HALLANDALE BEACH BLVD STE 1004
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4636
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Country | US
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Telephone | 954-451-1743
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Fax | 954-838-5336
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. FERNANDO A LARACUENTE
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Credential | APRN
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Telephone | 954-451-1743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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