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NPI 1033648613

NPI 1033648613 : WINDOWS OF HOPE INC. : ORANGE PARK, FL

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General NPI Number Information
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    NPI Number           |    1033648613
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    Entity Type          |    Organization 
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    Legal Business Name  |    WINDOWS OF HOPE INC. 
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Dates
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    Enumeration Date     |    06/07/2017
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    2304 STONEBRIDGE DR 
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    City                 |    ORANGE PARK
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    State                |    FL
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    Zip                  |    32065-5769
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    Country              |    US
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    Telephone            |    386-795-6185
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2304 STONEBRIDGE DR 
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    City                 |    ORANGE PARK
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    State                |    FL
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    Zip                  |    32065-5769
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    Country              |    US
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    Telephone            |    386-795-6185
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF DEVELOPMENT
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    Name                 |     SUSAN  BAUGHMAN 
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    Credential           |    
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    Telephone            |    386-795-6185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    385HR2060X
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    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
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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        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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