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General NPI Number Information
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NPI Number | 1184705576
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Entity Type | Organization
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Legal Business Name | NEW HOPE VILLAGE
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1211 E 18TH ST
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City | CARROLL
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State | IA
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Zip | 51401-1833
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Country | US
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Telephone | 712-792-5500
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Fax | 712-792-9944
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Provider Business Mailing Address
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Address Line | 1211 E 18TH ST PO BOX 887
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City | CARROLL
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State | IA
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Zip | 51401-1833
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Country | US
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Telephone | 712-792-5500
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Fax | 712-792-9944
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Authorized Official
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Title or Position | CEO
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Name | FRANK HERMSEN
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Credential |
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Telephone | 712-792-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | IMR-734
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License Number State | IA
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