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General NPI Number Information
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NPI Number | 1891222527
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Entity Type | Organization
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Legal Business Name | CENTER FOR HOPE AND HEALING, LLC
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 03/20/2019
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Provider Practice Location Address
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Address Line | 804 HWY 466
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City | LADY LAKE
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State | FL
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Zip | 32159
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Country | US
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Telephone | 651-895-7621
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Fax |
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Provider Business Mailing Address
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Address Line | 804 HWY 466
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City | LADY LAKE
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State | FL
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Zip | 32159
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Country | US
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Telephone | 651-895-7621
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA SALGADO
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Credential |
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Telephone | 651-895-7621
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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 | SW13110
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License Number State | FL
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