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General NPI Number Information
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NPI Number | 1235857103
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Entity Type | Organization
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Legal Business Name | HOPE HOUSE HOME HEALTHCARE
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 107 W MAIN ST STE A
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City | BLYTHEVILLE
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State | AR
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Zip | 72315-3431
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Country | US
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Telephone | 870-549-3882
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Fax | 870-549-3883
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Provider Business Mailing Address
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Address Line | 107 W MAIN ST STE A
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City | BLYTHEVILLE
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State | AR
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Zip | 72315-3431
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Country | US
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Telephone | 870-549-3882
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Fax | 870-549-3883
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHANTEL LEWIS
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Credential | RN
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Telephone | 870-549-3882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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