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General NPI Number Information
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NPI Number | 1538288733
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Entity Type | Organization
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Legal Business Name | HOME OF HOPE, INC.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 104 S. FOREMAN
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City | VINITA
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State | OK
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Zip | 74301
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Country | US
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Telephone | 918-256-4958
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Fax | 918-256-4958
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Provider Business Mailing Address
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Address Line | P.O. BOX 903
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City | VINITA
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State | OK
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Zip | 74301
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Country | US
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Telephone | 918-236-0922
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Fax | 918-236-0922
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Authorized Official
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Title or Position | CEO
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Name | DR. RALPH RICHARDSON
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Credential |
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Telephone | 918-236-0185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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