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General NPI Number Information
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NPI Number | 1215755095
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Entity Type | Organization
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Legal Business Name | REDIRECTING HOPE INC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 12708 SAN JOSE BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32223-2689
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Country | US
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Telephone | 804-337-9048
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Fax |
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Provider Business Mailing Address
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Address Line | 12708 SAN JOSE BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32223-2689
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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 | CLINICAL DIRECTOR
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Name | ANTHONY HINES
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Credential |
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Telephone | 804-337-9048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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