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General NPI Number Information
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NPI Number | 1356772404
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Entity Type | Organization
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Legal Business Name | NEW HOPE COMMUNITY SERVICES
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 901 US HIGHWAY 68 STE 900
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City | MAYSVILLE
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State | KY
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Zip | 41056-9188
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Country | US
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Telephone | 606-584-2169
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Fax | 866-533-4929
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Provider Business Mailing Address
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Address Line | 901 US HIGHWAY 68 STE 900
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City | MAYSVILLE
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State | KY
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Zip | 41056-9188
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Country | US
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Telephone | 606-584-2169
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Fax | 866-533-4929
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ALICIA MAE GREENE
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Credential | LPCC PC
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Telephone | 606-584-7055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1507
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License Number State | KY
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