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General NPI Number Information
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NPI Number | 1083758353
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Entity Type | Organization
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Legal Business Name | HOUSE OF HOPE, INC
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 908 ARPEIKA ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1601
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Country | US
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Telephone | 954-523-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 908 ARPEIKA ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1601
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Country | US
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Telephone | 954-523-4673
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. SUSAN GLASSCOCK
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Credential | MS
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Telephone | 954-524-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 1006AD459501
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License Number State | FL
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