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General NPI Number Information
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NPI Number | 1417997032
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Entity Type | Organization
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Legal Business Name | NEW HOPE OF INDIANA, INC.
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 01/08/2014
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Provider Practice Location Address
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Address Line | 130 E MERIDIAN ST
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City | ATLANTA
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State | IN
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Zip | 46031-9210
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Country | US
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Telephone | 317-338-9600
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Fax | 317-338-4585
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Provider Business Mailing Address
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Address Line | 8450 PAYNE RD. SUITE #300
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City | INDIANAPOLIS
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State | IN
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Zip | 46268
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Country | US
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Telephone | 317-338-9600
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Fax | 317-338-4585
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Authorized Official
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Title or Position | CEO
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Name | JAMES C. VAN DYKE
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Credential |
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Telephone | 317-338-4501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number | 2538T0009DE06
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License Number State | IN
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