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General NPI Number Information
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NPI Number | 1124733191
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Entity Type | Organization
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Legal Business Name | HOPE & ROOTS, LLC
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 256 HONEYSUCKLE RD STE 27
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City | DOTHAN
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State | AL
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Zip | 36305-1119
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Country | US
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Telephone | 334-796-3559
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Fax | 334-479-0052
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Provider Business Mailing Address
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Address Line | 256 HONEYSUCKLE RD STE 27
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City | DOTHAN
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State | AL
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Zip | 36305-1119
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Country | US
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Telephone | 334-796-3559
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Fax | 334-479-0052
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Authorized Official
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Title or Position | PROVIDER/DOCTOR
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Name | DR. WILLIAM T ELKINGTON
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Credential | MD
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Telephone | 334-547-0401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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