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General NPI Number Information
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NPI Number | 1013590819
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Entity Type | Organization
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Legal Business Name | FIELD OF HOPE COMMUNITY CAMPUS, INC.
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 11821 STATE ROUTE 160
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City | VINTON
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State | OH
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Zip | 45686-9009
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Country | US
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Telephone | 740-245-3051
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Fax | 740-245-3052
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Provider Business Mailing Address
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Address Line | 11821 STATE ROUTE 160
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City | VINTON
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State | OH
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Zip | 45686-9009
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Country | US
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Telephone | 740-245-3051
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Fax | 740-245-3052
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | AMBER LEE RICHARDS
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Credential |
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Telephone | 740-245-3051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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