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General NPI Number Information
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NPI Number | 1093343071
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Entity Type | Organization
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Legal Business Name | HOPE VILLAGE WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 12915 JONES MALTSBERGER RD STE 301
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City | SAN ANTONIO
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State | TX
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Zip | 78247-4255
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Country | US
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Telephone | 210-687-3526
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Fax | 210-610-6008
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Provider Business Mailing Address
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Address Line | 12915 JONES MALTSBERGER RD STE 301
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City | SAN ANTONIO
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State | TX
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Zip | 78247-4255
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Country | US
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Telephone | 210-687-3526
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Fax | 210-467-5207
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Authorized Official
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Title or Position | OWNER
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Name | UCHE CHUKWUREH
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Credential |
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Telephone | 210-467-5207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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