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General NPI Number Information
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NPI Number | 1700600137
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Entity Type | Organization
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Legal Business Name | HOPEWELL CLINICAL, INC.
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 1258 BROADWAY ST
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City | QUINCY
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State | IL
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Zip | 62301-2812
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Country | US
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Telephone | 217-223-0170
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Fax |
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Provider Business Mailing Address
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Address Line | 1258 BROADWAY ST
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City | QUINCY
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State | IL
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Zip | 62301-2812
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Country | US
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Telephone | 217-223-0170
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID EVANS
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Credential | CADC
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Telephone | 217-223-0170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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