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General NPI Number Information
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NPI Number | 1104610906
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Entity Type | Organization
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Legal Business Name | FOREVER HOPE, LLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 154 ROUNDABOUT CT
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-3573
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Country | US
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Telephone | 252-883-5852
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Fax |
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Provider Business Mailing Address
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Address Line | 530 BELMONT LAKE DR
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-5910
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Country | US
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Telephone | 252-883-5852
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CASSANDRA JOHNSON
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Credential |
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Telephone | 252-883-5852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health 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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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