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General NPI Number Information
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NPI Number | 1003524190
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Entity Type | Organization
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Legal Business Name | HOPE PRIMARY CARE, LLC
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 3410 PADDOCKS PKWY
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City | SUWANEE
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State | GA
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Zip | 30024-9120
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Country | US
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Telephone | 770-395-0478
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Fax |
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Provider Business Mailing Address
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Address Line | 5450 ESTATE VIEW TRCE
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City | SUWANEE
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State | GA
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Zip | 30024-3406
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ANA CORINA DINULESCU
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Credential | MD
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Telephone | 470-835-4673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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