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General NPI Number Information
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NPI Number | 1992514632
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD HEALTH LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 21073 POWERLINE RD STE 35
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City | BOCA RATON
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State | FL
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Zip | 33433-2306
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Country | US
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Telephone | 786-953-2971
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Fax |
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Provider Business Mailing Address
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Address Line | 5730 SW 74TH ST STE 200
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5300
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Country | US
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Telephone | 786-953-2971
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GRACIELA V VICTORERO
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Credential |
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Telephone | 786-402-6461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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