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General NPI Number Information
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NPI Number | 1265377246
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Entity Type | Organization
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Legal Business Name | NEW HOPE RESIDENTIAL LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 6291 SUNDERLAND DR APT C
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City | COLUMBUS
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State | OH
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Zip | 43229-8929
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Country | US
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Telephone | 571-316-8450
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Fax | 571-316-8450
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Provider Business Mailing Address
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Address Line | 6291 SUNDERLAND DR APT C
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City | COLUMBUS
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State | OH
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Zip | 43229-8929
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Country | US
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Telephone | 571-316-8450
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Fax | 571-316-8450
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Authorized Official
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Title or Position | CEO
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Name | JACKIE M BANGURA
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Credential | LPN
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Telephone | 571-316-8450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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