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General NPI Number Information
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NPI Number | 1528733755
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Entity Type | Organization
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Legal Business Name | A PLACE OF HOPE, LLC
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 405 W 1ST ST
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City | DAYTON
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State | OH
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Zip | 45402-3007
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Country | US
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Telephone | 937-266-5072
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Fax |
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Provider Business Mailing Address
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Address Line | 405 W 1ST ST
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City | DAYTON
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State | OH
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Zip | 45402-3007
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Country | US
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Telephone | 937-266-5072
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Fax |
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Authorized Official
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Title or Position | PROGRAM SPECIALIST
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Name | MS. SHERI ALDRIDGE
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Credential |
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Telephone | 937-222-5680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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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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