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General NPI Number Information
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NPI Number | 1144059585
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Entity Type | Organization
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Legal Business Name | HOPE ISLAND LLC
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Dates
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Enumeration Date | 08/01/2024
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 8005 CREST ACRES DR
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City | MASON
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State | OH
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Zip | 45040-9613
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Country | US
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Telephone | 513-515-8815
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Fax |
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Provider Business Mailing Address
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Address Line | 9550 S MASON MONTGOMERY RD
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City | MASON
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State | OH
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Zip | 45040-9759
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MAIN PROVIDER
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Name | MWAMINI BENGA
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Credential | PMHNP
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Telephone | 513-515-8815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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