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General NPI Number Information
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NPI Number | 1558601344
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Entity Type | Organization
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Legal Business Name | NEW HOPE FAMILY CARE AND MEDSPA LLC
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 02/15/2013
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Provider Practice Location Address
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Address Line | 131 MAPLE ROW BLVD STE D400
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3777
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Country | US
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Telephone | 615-265-8299
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Fax | 615-431-2572
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Provider Business Mailing Address
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Address Line | 242 W MAIN ST # 104
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3318
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Country | US
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Telephone | 615-265-8299
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Fax | 615-431-2572
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANGELA SUDDARTH
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Credential |
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Telephone | 615-265-8299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 7721
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License Number State | TN
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