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General NPI Number Information
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NPI Number | 1376318600
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Entity Type | Organization
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Legal Business Name | HOPE FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 2556 COVELL VILLAGE DR STE 120
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City | EDMOND
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State | OK
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Zip | 73003-9732
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Country | US
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Telephone | 405-938-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 2556 COVELL VILLAGE DR STE 120
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City | EDMOND
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State | OK
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Zip | 73003-9732
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Country | US
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Telephone | 405-938-0700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | APRIL GENTRY
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Credential | FNP-C
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Telephone | 540-270-4935
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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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