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General NPI Number Information
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NPI Number | 1659505394
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Entity Type | Organization
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Legal Business Name | HOPE PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 05/10/2009
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Last Update Date | 05/10/2009
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Provider Practice Location Address
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Address Line | 4099 FOXWOOD DR SUITE 203
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-5222
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Country | US
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Telephone | 888-695-9740
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Fax |
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Provider Business Mailing Address
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Address Line | 31070 HARBOR LN
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City | PAINTER
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State | VA
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Zip | 23420-3119
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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 | MEMBER
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Name | DR. NELSON G MONROY
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Credential | M.D.
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Telephone | 888-695-9740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | VA
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