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General NPI Number Information
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NPI Number | 1467807065
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Entity Type | Organization
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Legal Business Name | HOUSE OF HOPE COMMUNITY DEVELOPMENT CORPORATION
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 3188 POST RD
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City | WARWICK
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State | RI
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Zip | 02886-7175
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Country | US
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Telephone | 401-463-3324
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6130
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City | WARWICK
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State | RI
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Zip | 02887-6130
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Country | US
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Telephone | 401-463-3324
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JEAN JOHNSON
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Credential |
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Telephone | 401-463-3324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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