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General NPI Number Information
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NPI Number | 1487923520
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Entity Type | Organization
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Legal Business Name | HANDS OF HOPE HEALTH CARE CENTER
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 4625 MOFFETT RD.
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City | MOBILE
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State | AL
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Zip | 36618
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Country | US
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Telephone | 251-287-6146
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Fax | 251-287-6154
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Provider Business Mailing Address
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Address Line | 4625 MOFFETT RD.
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City | MOBILE
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State | AL
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Zip | 36618
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Country | US
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Telephone | 251-287-6146
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Fax | 251-287-6154
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CYNTHIA JACKSON
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Credential | CRNP
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Telephone | 251-287-6146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | AL
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