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General NPI Number Information
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NPI Number | 1629646526
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Entity Type | Organization
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Legal Business Name | HOUSE OF HOPE KENTUCKY INC
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 1166 HOPEFUL WAY UNIT 102
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City | LOUISVILLE
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State | KY
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Zip | 40210-1582
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Country | US
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Telephone | 502-551-4270
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Fax |
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Provider Business Mailing Address
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Address Line | 1157 DIXIE HWY
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City | LOUISVILLE
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State | KY
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Zip | 40210-1264
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Country | US
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Telephone | 502-551-4270
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. TANGY R HUNTER
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Credential |
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Telephone | 502-551-4270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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