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General NPI Number Information
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NPI Number | 1306685169
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Entity Type | Organization
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Legal Business Name | BE HOPE, LLC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 363 WRIGHT WAY
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City | TUPELO
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State | MS
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Zip | 38801-0637
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Country | US
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Telephone | 662-251-0504
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Fax |
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Provider Business Mailing Address
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Address Line | 363 WRIGHT WAY
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City | TUPELO
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State | MS
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Zip | 38801-0637
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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 | CEO/FOUNDER
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Name | LAQUANDA C GATES
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Credential | MSW
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Telephone | 662-251-0504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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