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General NPI Number Information
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NPI Number | 1902418080
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Entity Type | Organization
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Legal Business Name | HOPE MENTAL HEALTH CENTER CORP
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 1500 W CYPRESS CREEK RD STE 102
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1848
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Country | US
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Telephone | 786-757-2546
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 W CYPRESS CREEK RD STE 102
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1848
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Country | US
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Telephone | 786-757-2546
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DILIANYS OQUENDO
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Credential | BS
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Telephone | 786-757-2546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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