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General NPI Number Information
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NPI Number | 1376825406
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Entity Type | Organization
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Legal Business Name | FAITH & HOPE, INC
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 204 HIGHWAY 71 S
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City | MENA
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State | AR
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Zip | 71953-4638
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Country | US
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Telephone | 479-394-3287
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Fax | 479-394-0235
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Provider Business Mailing Address
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Address Line | 204 HIGHWAY 71 S
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City | MENA
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State | AR
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Zip | 71953-4638
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Country | US
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Telephone | 479-394-3287
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Fax | 479-394-0235
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Authorized Official
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Title or Position | TREASUERE
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Name | KAY K GARNER
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Credential | LPN
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Telephone | 479-394-3254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | AR20383
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License Number State | AR
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