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General NPI Number Information
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NPI Number | 1467699280
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Entity Type | Organization
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Legal Business Name | HOPE INTERVENTION SERVICES, INC.
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 01/15/2009
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Provider Practice Location Address
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Address Line | 1535 SOUTHPOINT RD
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City | BELMONT
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State | NC
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Zip | 28012-8544
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Country | US
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Telephone | 704-299-3040
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 877
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City | BELMONT
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State | NC
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Zip | 28012-0877
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Country | US
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Telephone | 704-299-3040
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. MABRY YOUNG JR.
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Credential |
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Telephone | 704-299-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NC
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