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General NPI Number Information
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NPI Number | 1689040024
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Entity Type | Organization
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Legal Business Name | HOPE FROM HOPE INC
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Dates
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Enumeration Date | 08/20/2015
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | 900 S MAIN ST STE B
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City | HOPE
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State | AR
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Zip | 71801-6525
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Country | US
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Telephone | 870-777-6002
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1387
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City | HOPE
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State | AR
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Zip | 71802-1387
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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 | PRESIDENT
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Name | SANDRA SOOMAN
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Credential | MD
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Telephone | 870-777-6002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | E4344
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License Number State | AR
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