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General NPI Number Information
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NPI Number | 1265241749
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Entity Type | Organization
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Legal Business Name | CHASING HOPE HOUSE
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 408 9TH ST SW
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City | CANTON
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State | OH
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Zip | 44707-4714
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Country | US
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Telephone | 234-521-9466
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Fax |
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Provider Business Mailing Address
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Address Line | 408 9TH ST SW
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City | CANTON
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State | OH
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Zip | 44707-4714
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Country | US
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Telephone | 234-521-9466
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS CHAIS ROSS
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Credential |
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Telephone | 330-685-1585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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