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General NPI Number Information
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NPI Number | 1578984647
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Entity Type | Organization
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Legal Business Name | HOPE NETWORK REHAB SERVICES
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 1490 E BELTLINE AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49506-4336
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Country | US
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Telephone | 616-940-0040
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Fax |
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Provider Business Mailing Address
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Address Line | 1490 E BELTLINE AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49506-4336
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Country | US
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Telephone | 616-940-0040
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Fax |
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Authorized Official
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Title or Position | RECREATION ASSISTANT
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Name | JORY DANIELLE BROWN
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Credential |
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Telephone | 989-413-1556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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