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General NPI Number Information
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NPI Number | 1053192120
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Entity Type | Organization
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Legal Business Name | FAITH AND HOPE CLINICIAN LLC
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Dates
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Enumeration Date | 10/13/2023
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 293 APACHE CIR
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City | WESTERVILLE
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State | OH
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Zip | 43081-2791
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Country | US
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Telephone | 161-458-1033
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 86
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City | WESTERVILLE
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State | OH
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Zip | 43086-0086
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Country | US
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Telephone | 614-581-0334
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Fax | 517-394-4665
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ANNA HUNG-CHAN
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Credential |
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Telephone | 614-581-0334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 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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