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General NPI Number Information
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NPI Number | 1033912761
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Entity Type | Organization
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Legal Business Name | HOPE 97 LLC
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1500 LEE BLVD
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City | LEHIGH ACRES
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State | FL
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Zip | 33936-4835
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Country | US
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Telephone | 239-369-2101
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 LEE BLVD
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City | LEHIGH ACRES
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State | FL
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Zip | 33936-4835
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Country | US
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Telephone | 239-369-2101
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PAIGE LAUGHLIN
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Credential |
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Telephone | 804-495-6424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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