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General NPI Number Information
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NPI Number | 1861968729
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Entity Type | Organization
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Legal Business Name | NEW HOPE HOLISTIC CARE CENTER
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 10/18/2018
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Provider Practice Location Address
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Address Line | 3845 N ANDREWS AVE
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City | OAKLAND PARK
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State | FL
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Zip | 33309-5263
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Country | US
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Telephone | 954-990-5431
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Fax |
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Provider Business Mailing Address
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Address Line | 3845 N ANDREWS AVE
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City | OAKLAND PARK
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State | FL
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Zip | 33309-5263
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Country | US
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Telephone | 954-990-5431
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SEDNEY ETIENNE
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Credential | AP
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Telephone | 954-990-5431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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