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General NPI Number Information
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NPI Number | 1235911686
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Entity Type | Organization
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Legal Business Name | OUTSTANDING HOPE HEALTH RESTORE CARE CENTER, PLLC
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 5303 PLAZA DRIVE SUITE #106
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City | HOPEWELL
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State | VA
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Zip | 23860-7331
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Country | US
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Telephone | 804-735-9181
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Fax | 804-636-7079
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Provider Business Mailing Address
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Address Line | 12310 MOORES LAKE ROAD, APT 3-407
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City | CHESTER
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State | VA
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Zip | 23831
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Country | US
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Telephone | 804-735-9181
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Fax | 804-636-7079
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MERESSE MICHEL FRANCIS
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Credential | DNP, FNP-BC,ARNP
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Telephone | 804-735-9181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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