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General NPI Number Information
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NPI Number | 1477843886
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Entity Type | Organization
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Legal Business Name | PEACE OF HOPE, INC.
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Dates
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Enumeration Date | 04/19/2011
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 2236 CAROLINA WIND CT
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City | SNELLVILLE
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State | GA
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Zip | 30078-2579
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Country | US
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Telephone | 404-957-5693
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Fax |
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Provider Business Mailing Address
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Address Line | 2236 CAROLINA WIND CT
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City | SNELLVILLE
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State | GA
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Zip | 30078-2579
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Country | US
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Telephone | 404-957-5693
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | SHIRLEY MOORE
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Credential |
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Telephone | 404-957-5693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | GA
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