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General NPI Number Information
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NPI Number | 1033779889
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Entity Type | Organization
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Legal Business Name | HOMELESS OUTREACH PROGRAM OF EXCELLENCE
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Dates
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Enumeration Date | 06/14/2019
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 4449 EAST WAY STE 200
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City | COLUMBUS
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State | OH
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Zip | 43219
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Country | US
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Telephone | 614-477-8256
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Fax |
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Provider Business Mailing Address
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Address Line | 2742 WALLCREST BLVD
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City | COLUMBUS
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State | OH
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Zip | 43231-4885
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Country | US
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Telephone | 614-477-8256
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DARNELL HINES SR.
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Credential |
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Telephone | 614-477-8256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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