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General NPI Number Information
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NPI Number | 1316692163
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Entity Type | Organization
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Legal Business Name | JCS HOPE HEALTH LLC
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 4478 HIGHWAY 6 N STE B
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City | HOUSTON
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State | TX
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Zip | 77084-3440
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Country | US
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Telephone | 281-937-4973
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Fax | 281-937-4974
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Provider Business Mailing Address
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Address Line | 4478 HIGHWAY 6 N STE B
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City | HOUSTON
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State | TX
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Zip | 77084-3440
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Country | US
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Telephone | 281-937-4973
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Fax | 281-937-4974
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Authorized Official
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Title or Position | FNP/MANAGER
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Name | JULIO CESAR ARIAS SOTO
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Credential | FNP
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Telephone | 346-314-7358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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