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General NPI Number Information
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NPI Number | 1801368212
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Entity Type | Organization
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Legal Business Name | ASSURANCE OF HOPE INSTITUTE, INC
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Dates
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Enumeration Date | 12/24/2018
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 2712 W ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33069-2551
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Country | US
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Telephone | 954-709-8022
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Fax | 954-400-7394
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Provider Business Mailing Address
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Address Line | 5975 W SUNRISE BLVD STE 115B
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City | PLANTATION
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State | FL
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Zip | 33313-6801
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Country | US
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Telephone | 954-368-6856
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Fax | 954-400-7394
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Authorized Official
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Title or Position | AUTHORIZED OFFICAL
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Name | SHARON SWABY
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Credential |
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Telephone | 954-368-6856
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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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