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General NPI Number Information
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NPI Number | 1265808232
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Entity Type | Organization
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Legal Business Name | HOPEBRIDGE HOSPITAL HOUSTON, LLC
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 5556 GASMER DR
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City | HOUSTON
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State | TX
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Zip | 77035-4563
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Country | US
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Telephone | 713-422-2650
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Fax | 713-590-3395
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Provider Business Mailing Address
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Address Line | 5556 GASMER DR
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City | HOUSTON
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State | TX
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Zip | 77035-4563
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Country | US
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Telephone | 713-422-2650
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Fax | 713-590-3395
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Authorized Official
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Title or Position | CAO, OWNER
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Name | MR. BERNARD JOHN LANGE III
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Credential |
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Telephone | 713-422-2650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 100251
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 100251
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License Number State | TX
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