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General NPI Number Information
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NPI Number | 1679209563
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Entity Type | Organization
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Legal Business Name | RESTORE AT A RAY OF HOPE
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 33 N MARKET ST
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City | BATAVIA
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State | OH
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Zip | 45103-2906
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Country | US
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Telephone | 513-409-3635
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Fax | 513-402-0408
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Provider Business Mailing Address
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Address Line | 33 N MARKET ST
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City | BATAVIA
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State | OH
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Zip | 45103-2906
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Country | US
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Telephone | 513-409-3635
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Fax | 513-402-0408
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Authorized Official
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Title or Position | DIRECTOR
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Name | YVONNE FERNANDEZ
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Credential |
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Telephone | 513-409-3635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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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