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General NPI Number Information
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NPI Number | 1700611548
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Entity Type | Organization
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Legal Business Name | HOPE SPRINGS MENTAL HEALTH CLINIC LLC
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6846 S CANTON AVE STE 530 SUITE 530
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City | TULSA
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State | OK
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Zip | 74136-3417
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Country | US
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Telephone | 918-899-6470
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Fax | 949-703-7767
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Provider Business Mailing Address
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Address Line | 6846 S CANTON AVE STE 530
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City | TULSA
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State | OK
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Zip | 74136-3417
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Country | US
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Telephone | 918-899-6470
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Fax | 949-703-7767
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | JANEFRANCES OLOGOLO
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Credential |
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Telephone | 918-691-9088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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