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General NPI Number Information
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NPI Number | 1538966957
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Entity Type | Organization
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Legal Business Name | NEW HOPE MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1935 COUNTY ROAD B2 W STE 43
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City | SAINT PAUL
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State | MN
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Zip | 55113-2780
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Country | US
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Telephone | 612-806-2219
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Fax | 612-640-4064
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Provider Business Mailing Address
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Address Line | 1935 COUNTY ROAD B2 W STE 43
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City | SAINT PAUL
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State | MN
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Zip | 55113-2780
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Country | US
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Telephone | 612-806-2219
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Fax | 612-640-4064
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Authorized Official
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Title or Position | CREDENTIALING AGENT
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Name | KEO SENGSAVANG
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Credential |
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Telephone | 612-234-1823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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