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General NPI Number Information
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NPI Number | 1003657420
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Entity Type | Organization
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Legal Business Name | UNITED HOPE HEALTH SERVICES LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 6640 PARKDALE PL STE V
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-5619
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Country | US
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Telephone | 469-915-4211
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Fax | 317-886-8895
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Provider Business Mailing Address
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Address Line | 6640 PARKDALE PL STE V
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-5619
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Country | US
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Telephone | 469-915-4211
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Fax | 317-886-8895
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | AL BERRY
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Credential |
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Telephone | 469-915-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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