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General NPI Number Information
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NPI Number | 1760795579
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Entity Type | Organization
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Legal Business Name | UNLIMITED HOPE, LLC
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 311 NE 8TH ST SUITE 201
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City | HOMESTEAD
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State | FL
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Zip | 33030-4738
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Country | US
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Telephone | 305-283-6668
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Fax |
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Provider Business Mailing Address
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Address Line | 311 NE 8TH ST SUITE 201
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City | HOMESTEAD
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State | FL
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Zip | 33030-4738
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Country | US
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Telephone | 305-283-6668
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FANITA CAPPELLO
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Credential | LCSW
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Telephone | 305-283-6668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW8948
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License Number State | FL
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