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General NPI Number Information
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NPI Number | 1699371237
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Entity Type | Organization
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Legal Business Name | HOPE AND COMPASSION LIVING PROGRAMS
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 12388 W HAZELWOOD ST
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City | AVONDALE
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State | AZ
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Zip | 85392-4275
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Country | US
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Telephone | 623-440-2926
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Fax |
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Provider Business Mailing Address
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Address Line | 12388 W HAZELWOOD ST
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City | AVONDALE
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State | AZ
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Zip | 85392-4275
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Country | US
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Telephone | 602-820-1544
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | ANNE MARIE NTIRANYIBAGIRA
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Credential |
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Telephone | 602-820-1544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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