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General NPI Number Information
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NPI Number | 1245672898
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Entity Type | Organization
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Legal Business Name | THE HOPE CENTER FOR LIVING, INC
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | 6321 US HIGHWAY 301 S
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City | RIVERVIEW
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State | FL
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Zip | 33578-3850
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Country | US
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Telephone | 813-671-4673
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 648
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City | VALRICO
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State | FL
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Zip | 33595-0648
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Country | US
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Telephone | 813-671-4673
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Fax |
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Authorized Official
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Title or Position | CHEIF EXECUTIVE DIRECTOR
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Name | REBA HALEY
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Credential | PHD
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Telephone | 813-716-3996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 13-29-AD-5850-01
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number | 13-29-AD-5850-01
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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