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General NPI Number Information
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NPI Number | 1235514969
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Entity Type | Organization
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Legal Business Name | HOPEWELL MENTAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 7625 HOSPITAL DR
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City | DUBLIN
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State | OH
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Zip | 43016-9649
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Country | US
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Telephone | 614-717-1800
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Fax | 614-717-1801
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Provider Business Mailing Address
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Address Line | PO BOX 1186
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City | WORTHINGTON
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State | OH
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Zip | 43085-1186
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Country | US
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Telephone | 614-796-0338
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Fax | 614-890-5485
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER L WILSON
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Credential | NP
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Telephone | 614-580-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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