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General NPI Number Information
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NPI Number | 1225468747
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Entity Type | Organization
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Legal Business Name | HOPE FAMILY CLINIC PA
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 100 E 20TH ST
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City | HOPE
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State | AR
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Zip | 71801-8213
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Country | US
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Telephone | 870-289-5865
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 295
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City | LOCKESBURG
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State | AR
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Zip | 71846-0295
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Country | US
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Telephone | 870-289-5865
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Fax | 870-289-6993
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Authorized Official
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Title or Position | CLINIC ADMINISTRATOR
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Name | TONY ASBILLE
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Credential |
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Telephone | 903-748-9729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A003958
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License Number State | AR
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