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General NPI Number Information
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NPI Number | 1245690700
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Entity Type | Organization
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Legal Business Name | HOPE NETWORK
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 175 NORTH GROESBECK UNIT 175F
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043
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Country | US
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Telephone | 586-627-0024
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Fax | 586-627-0027
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Provider Business Mailing Address
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Address Line | 175 N GROESBECK HWY UNIT 175-F
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-1562
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Country | US
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Telephone | 586-627-0024
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Fax | 586-627-0027
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Authorized Official
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Title or Position | REVENUE MGMT.
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Name | MS. RONEL K. SANDS
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Credential |
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Telephone | 810-213-1803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6801082542
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License Number State | MI
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