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General NPI Number Information
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NPI Number | 1205417573
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Entity Type | Organization
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Legal Business Name | GIVINGHOPE BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 539 W COMMERCE ST STE 4934
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone | 222-441-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 404 E BROAD ST STE 600
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City | MANSFIELD
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State | TX
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Zip | 76063-1743
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Country | US
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Telephone | 319-600-6693
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | LATIFAT FOLASHADE ADELEKAN-ADEOGUN
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Credential |
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Telephone | 224-578-2132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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