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General NPI Number Information
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NPI Number | 1629422027
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Entity Type | Organization
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Legal Business Name | PLEASANT HOPE VALLEY INC
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 04/30/2016
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Provider Practice Location Address
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Address Line | 15043 YATES RD
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City | JAMAICA
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State | NY
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Zip | 11433-1931
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Country | US
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Telephone | 917-940-1926
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Fax |
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Provider Business Mailing Address
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Address Line | 15043 YATES RD
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City | JAMAICA
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State | NY
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Zip | 11433-1931
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FEMI ADESINA
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Credential |
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Telephone | 917-940-1926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | 4907986
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | 4907986
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License Number State | NY
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