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General NPI Number Information
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NPI Number | 1932726692
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Entity Type | Organization
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Legal Business Name | YOLANDES HOPE FOR HAITI INCL
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 840 N LAUDERDALE AVE # 301K
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-2001
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Country | US
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Telephone | 954-599-6880
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Fax | 605-467-7085
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Provider Business Mailing Address
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Address Line | 1322 SW 74TH AVE
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-3609
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Country | US
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Telephone | 954-599-6880
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YOLANDE MAXIUS
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Credential | RCSWI
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Telephone | 954-599-6880
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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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