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General NPI Number Information
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NPI Number | 1104581479
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Entity Type | Organization
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Legal Business Name | ONWARD HOPE, INC.
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 1408 W CAMELBACK ROAD
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City | PHOENIX
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State | AZ
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Zip | 85013-2127
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Country | US
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Telephone | 602-441-2723
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Fax | 480-323-2114
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Provider Business Mailing Address
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Address Line | 1408 W CAMELBACK ROAD
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City | PHOENIX
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State | AZ
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Zip | 85013-2127
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Country | US
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Telephone | 602-441-2723
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Fax | 480-323-2114
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Authorized Official
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Title or Position | CEO & PRESIDENT
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Name | MRS. ESHAWN A PETERSON
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Credential |
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Telephone | 602-441-2723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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