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General NPI Number Information
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NPI Number | 1598133472
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Entity Type | Organization
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Legal Business Name | INSPIRED HOPE GROUP LLC
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1228 W SCYENE RD STE 230
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City | MESQUITE
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State | TX
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Zip | 75149-3143
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Country | US
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Telephone | 972-288-1800
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Fax | 972-288-1802
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Provider Business Mailing Address
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Address Line | 1228 W SCYENE RD STE 230
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City | MESQUITE
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State | TX
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Zip | 75149-3143
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Country | US
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Telephone | 972-288-1800
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Fax | 972-288-1802
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Authorized Official
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Title or Position | DIRECTOR/COUNSELOR
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Name | FREDRICK O NGWU
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Credential |
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Telephone | 214-418-8145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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