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General NPI Number Information
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NPI Number | 1346166071
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Entity Type | Organization
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Legal Business Name | HOPEWELL HOMESTEAD, INC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 1282 N SANDHILL RD
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City | COVINGTON
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State | IN
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Zip | 47932-8075
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Country | US
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Telephone | 765-263-9792
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Fax | 765-291-2012
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Provider Business Mailing Address
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Address Line | 1282 N SANDHILL RD
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City | COVINGTON
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State | IN
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Zip | 47932-8075
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Country | US
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Telephone | 765-263-9792
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Fax | 765-291-2012
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Authorized Official
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Title or Position | OFFIC MANAGER
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Name | DAVID SHELBY
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Credential |
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Telephone | 765-366-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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