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General NPI Number Information
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NPI Number | 1235995580
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Entity Type | Organization
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Legal Business Name | A NATION OF HOPE
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 3008 ROSS AVE STE 100
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City | DALLAS
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State | TX
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Zip | 75204-5519
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Country | US
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Telephone | 682-277-9994
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 682-277-9994
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER (CEO)
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Name | MS. NATASHA LACHINE FULLER
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Credential | MBA, QMHP-CS, PSS
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Telephone | 682-277-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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