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General NPI Number Information
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NPI Number | 1982248647
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Entity Type | Organization
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Legal Business Name | HEALING HEALTH CENTER
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 4825 E 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33013-1814
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Country | US
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Telephone | 786-534-8448
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Fax | 786-534-8964
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Provider Business Mailing Address
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Address Line | 4825 E 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33013-1814
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Country | US
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Telephone | 786-534-8448
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Fax | 786-534-8964
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GRETEL INFANTE
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Credential |
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Telephone | 786-534-8448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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