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General NPI Number Information
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NPI Number | 1477244788
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Entity Type | Organization
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Legal Business Name | HOPE LLC
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 2340 E CALVADA BLVD STE B
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City | PAHRUMP
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State | NV
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Zip | 89048-5880
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Country | US
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Telephone | 209-642-1731
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Fax |
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Provider Business Mailing Address
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Address Line | 840 S RANCHO DR STE 4256
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City | LAS VEGAS
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State | NV
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Zip | 89106-3837
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | YURIT MADRIGAL
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Credential |
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Telephone | 209-642-1731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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