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General NPI Number Information
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NPI Number | 1679816912
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Entity Type | Organization
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Legal Business Name | A NEW HOPE, LLC
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Dates
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Enumeration Date | 04/05/2013
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 150 N MAIN ST STE 200
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City | POCATELLO
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State | ID
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Zip | 83204-3113
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Country | US
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Telephone | 208-904-1950
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Fax | 208-904-1953
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Provider Business Mailing Address
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Address Line | 150 N MAIN ST STE 200
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City | POCATELLO
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State | ID
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Zip | 83204-3113
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Country | US
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Telephone | 208-705-6399
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. C. JARED WHITE
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Credential |
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Telephone | 208-705-6399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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