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General NPI Number Information
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NPI Number | 1417220013
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Entity Type | Organization
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Legal Business Name | HOPE FAMILY CARE PA
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 807 E. PRESCOTT AVE.
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City | SALINA
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State | KS
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Zip | 67401-7412
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Country | US
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Telephone | 785-833-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 807 E. PRESCOTT AVE.
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City | SALINA
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State | KS
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Zip | 67401-7412
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Country | US
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Telephone | 785-833-2030
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | LUBNA AHMED
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Credential |
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Telephone | 785-833-2030
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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 | 0434986
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License Number State | KS
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