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General NPI Number Information
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NPI Number | 1518422047
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Entity Type | Organization
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Legal Business Name | RAY OF HOPE RECOVERIES INC
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 1158 LEXINGTON RD
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City | GEORGETOWN
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State | KY
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Zip | 40324-9330
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Country | US
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Telephone | 502-863-2277
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Fax | 502-863-6334
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Provider Business Mailing Address
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Address Line | 237 QUAIL RUN DRIVE
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City | GEORGETOWN
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State | KY
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Zip | 40324
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Country | US
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Telephone | 859-608-7839
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CEDRIC CRAIG
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Credential | MD
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Telephone | 859-608-7839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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