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General NPI Number Information
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NPI Number | 1669111621
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Entity Type | Organization
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Legal Business Name | HOPEVILLE HEALTHCARE CONCEPTS INC
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Dates
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Enumeration Date | 05/28/2022
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Last Update Date | 05/28/2022
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Provider Practice Location Address
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Address Line | 10014 WILLMONT RD
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City | LA PORTE
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State | TX
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Zip | 77571-4175
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Country | US
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Telephone | 403-532-4943
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Fax |
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Provider Business Mailing Address
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Address Line | 10014 WILLMONT RD
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City | LA PORTE
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State | TX
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Zip | 77571-4175
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Country | US
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Telephone | 403-532-4943
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | IBIRONKE KAYODE
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Credential |
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Telephone | 405-532-4943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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