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General NPI Number Information
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NPI Number | 1073081014
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Entity Type | Organization
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Legal Business Name | INSPIRED HOPE
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 7833 CALIBRE CROSSING DR APT 205
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City | CHARLOTTE
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State | NC
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Zip | 28227-6780
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Country | US
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Telephone | 910-207-1729
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Fax |
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Provider Business Mailing Address
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Address Line | 7833 CALIBRE CROSSING DR APT 205
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City | CHARLOTTE
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State | NC
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Zip | 28227-6780
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Country | US
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Telephone | 910-207-1729
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BELINDA YVETTE MARTIN
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Credential | NCPSS
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Telephone | 910-207-1729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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