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General NPI Number Information
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NPI Number | 1437325339
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Entity Type | Organization
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Legal Business Name | HOPE PEDIATRIC CENTERS
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 2610 WEST HORIZION RIDGE PARKWAY SUITE 200
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City | LAS VEGAS
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State | NV
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Zip | 89052
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Country | US
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Telephone | 702-735-4673
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 848330
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City | BOSTON
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State | MA
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Zip | 02284-8330
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Country | US
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Telephone | 702-735-4673
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Fax | 702-735-4633
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. GALE KOCH
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Credential |
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Telephone | 702-492-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 10127
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License Number State | NV
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