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General NPI Number Information
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NPI Number | 1649465980
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Entity Type | Organization
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Legal Business Name | A NEW HOPE SOCIAL SERVICES PLLC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 312 S FIRST AVE LOWR LEVEL
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City | SANDPOINT
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State | ID
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Zip | 83864-1202
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Country | US
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Telephone | 208-263-7727
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Fax | 208-263-7728
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Provider Business Mailing Address
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Address Line | 202 E ANTON AVE STE 206
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City | COEUR D ALENE
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State | ID
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Zip | 83815-3779
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Country | US
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Telephone | 208-667-6095
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Fax | 208-667-6173
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ERIN YINGER
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Credential |
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Telephone | 208-667-6095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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