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General NPI Number Information
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NPI Number | 1285113548
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Entity Type | Organization
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Legal Business Name | THE HOUSE OF HOPE
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 31 STANDISH RD
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City | VALLEY STREAM
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State | NY
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Zip | 11580-1131
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Country | US
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Telephone | 917-646-4703
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Fax |
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Provider Business Mailing Address
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Address Line | 31 STANDISH RD
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City | VALLEY STREAM
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State | NY
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Zip | 11580-1131
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | HAMMED ADEYEMI
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Credential |
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Telephone | 917-676-4703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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