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General NPI Number Information
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NPI Number | 1609167303
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Entity Type | Organization
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Legal Business Name | HOPES, INC
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 5102 GAWAIN DR 12521 NACOGDOCHES RD.
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City | SAN ANTONIO
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State | TX
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Zip | 78218-2705
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Country | US
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Telephone | 210-559-2551
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Fax | 210-251-4279
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Provider Business Mailing Address
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Address Line | 5102 GAWAIN DR
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City | SAN ANTONIO
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State | TX
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Zip | 78218-2705
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Country | US
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Telephone | 210-559-2551
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Fax | 210-251-4279
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MARY ETHEL JOHNSON
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Credential |
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Telephone | 210-559-2551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 129087
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 127121
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License Number State | TX
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