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General NPI Number Information
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NPI Number | 1174145957
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Entity Type | Organization
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Legal Business Name | DESTINY OF HOPE FOUNDATION
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1323 W RIVERVIEW AVE
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City | DAYTON
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State | OH
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Zip | 45402-6216
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Country | US
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Telephone | 908-590-5283
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Fax |
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Provider Business Mailing Address
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Address Line | 1323 W RIVERVIEW AVE
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City | DAYTON
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State | OH
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Zip | 45402-6216
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Country | US
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Telephone | 908-590-5283
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DESTINYE ELAINE MCLEAN
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Credential | RN
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Telephone | 908-590-5283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #7
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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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