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General NPI Number Information
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NPI Number | 1962085720
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Entity Type | Organization
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Legal Business Name | SAMARITAN HOPE EMPOWERMENT SERVICES
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 1951 W COPANS RD STE 8-14
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City | POMPANO BEACH
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State | FL
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Zip | 33064-1549
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Country | US
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Telephone | 954-994-7685
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Fax | 954-206-0697
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Provider Business Mailing Address
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Address Line | PO BOX 668055
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City | POMPANO BEACH
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State | FL
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Zip | 33066-8055
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Country | US
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Telephone | 954-994-7685
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Fax | 954-206-0697
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Authorized Official
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Title or Position | CED/DIRECTOR
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Name | MORIYAH EMUNAH YASHAR'EL
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Credential |
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Telephone | 954-994-7685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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