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General NPI Number Information
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NPI Number | 1710848932
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Entity Type | Organization
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Legal Business Name | NEW HOPE COMMUNITY SERVICE CENTER
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 2559 W 79TH ST
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City | CHICAGO
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State | IL
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Zip | 60652-1751
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Country | US
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Telephone | 773-737-9555
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Fax | 773-737-0401
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Provider Business Mailing Address
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Address Line | 2559 W 79TH ST
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City | CHICAGO
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State | IL
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Zip | 60652-1751
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Country | US
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Telephone | 773-737-9555
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Fax | 773-737-0401
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Authorized Official
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Title or Position | DIRECTOR OF CODING AND COMPLIANCE
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Name | WANDA DENISE SMITH
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Credential |
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Telephone | 331-643-5238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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