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General NPI Number Information
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NPI Number | 1235997651
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Entity Type | Organization
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Legal Business Name | HOPE SERVICES, LLC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 5700 W RIVA CAPRI ST
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City | MERIDIAN
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State | ID
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Zip | 83646-7162
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Country | US
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Telephone | 208-921-4458
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 W RIVA CAPRI ST
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City | MERIDIAN
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State | ID
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Zip | 83646-7162
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Country | US
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Telephone | 208-921-4458
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. TYLER ORAM
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Credential |
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Telephone | 208-921-4458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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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