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General NPI Number Information
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NPI Number | 1962294264
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Entity Type | Organization
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Legal Business Name | UPLIFT HEALTHCARE INC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 5812 HOLLYWOOD BLVD RM 7
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6316
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Country | US
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Telephone | 754-255-5505
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Fax | 754-239-2540
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Provider Business Mailing Address
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Address Line | 5812 HOLLYWOOD BLVD RM 7
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6316
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Country | US
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Telephone | 754-255-5505
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Fax | 754-239-2540
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Authorized Official
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Title or Position | MANAGER
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Name | MANUEL E LOPEZ
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Credential |
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Telephone | 754-255-5505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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