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General NPI Number Information
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NPI Number | 1164024345
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Entity Type | Organization
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Legal Business Name | HOPE COMMUNITY HEALTH INC
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 9563 SHORE DR STE B
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City | NORFOLK
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State | VA
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Zip | 23518-1711
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Country | US
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Telephone | 757-512-8757
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Fax |
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Provider Business Mailing Address
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Address Line | 503 BRACKENRIDGE AVE
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City | NORFOLK
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State | VA
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Zip | 23505-4325
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Country | US
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Telephone | 757-512-8757
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. KATIE MARIE MCAULIFFE
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Credential | MD
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Telephone | 757-512-8757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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