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General NPI Number Information
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NPI Number | 1760970099
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Entity Type | Organization
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Legal Business Name | NEW HOPE & HEALING CLINICAL ASSOCIATES,INC
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 1950 MILLER ST STE 5
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City | ORANGE PARK
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State | FL
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Zip | 32073
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Country | US
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Telephone | 904-592-7834
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 MILLER ST STE 5
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City | ORANGE PARK
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State | FL
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Zip | 32073-4760
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Country | US
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Telephone | 904-592-7834
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIBEL LOZADA-SOLBERG
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Credential |
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Telephone | 305-409-5905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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