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General NPI Number Information
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NPI Number | 1700459088
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Entity Type | Organization
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Legal Business Name | HOPE AND HEALING BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 200 VALENCIA DR STE 134
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6313
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Country | US
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Telephone | 910-939-5247
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Fax | 910-353-4310
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Provider Business Mailing Address
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Address Line | 200 VALENCIA DR STE 134
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6313
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Country | US
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Telephone | 910-939-5247
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | JUDYLYN HOBSON
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Credential | NP
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Telephone | 843-305-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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