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General NPI Number Information
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NPI Number | 1437955887
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Entity Type | Organization
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Legal Business Name | FEATHERS OF HOPE, LLC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 2355 MALL RD
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City | FLORENCE
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State | AL
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Zip | 35630-2802
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Country | US
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Telephone | 208-623-9050
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Fax |
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Provider Business Mailing Address
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Address Line | 17640 EASTMOOR ST
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City | ATHENS
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State | AL
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Zip | 35611-2175
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Country | US
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Telephone | 662-255-9047
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Fax |
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Authorized Official
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Title or Position | NP
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Name | RAVEN PARKER HODGES
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Credential | CRNP
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Telephone | 208-623-9050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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