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General NPI Number Information
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NPI Number | 1134876261
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Entity Type | Organization
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Legal Business Name | HOPE RECOVERY, INC.
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 465 S 11TH ST APT 2
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City | CLINTON
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State | IN
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Zip | 47842-1157
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Country | US
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Telephone | 812-917-8749
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 411
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City | CLINTON
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State | IN
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Zip | 47842-0411
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Country | US
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Telephone | 765-505-8908
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KRISTEN L PRICE
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Credential | MA, LMHC
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Telephone | 765-505-8908
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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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