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General NPI Number Information
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NPI Number | 1285160929
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Entity Type | Organization
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Legal Business Name | GIFT OF HAVING HOPE
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 6780 JOHN CLARK DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-3797
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Country | US
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Telephone | 678-499-7197
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Fax |
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Provider Business Mailing Address
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Address Line | 6780 JOHN CLARK DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-3797
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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 | OWNER
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Name | HOPE CAMPBELL
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Credential |
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Telephone | 678-499-7197
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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 |
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License Number State |
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