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General NPI Number Information
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NPI Number | 1720719099
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Entity Type | Organization
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Legal Business Name | H.O.P.E WORKS ( HEALING OVER PEOPLE'S EXPECTATIONS ) LLC
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Dates
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Enumeration Date | 06/18/2022
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Last Update Date | 06/18/2022
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Provider Practice Location Address
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Address Line | 3714 TERRACE AVE
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-6440
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Country | US
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Telephone | 856-840-5501
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Fax |
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Provider Business Mailing Address
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Address Line | 81 CHELSEA CIR
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City | CLEMENTON
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State | NJ
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Zip | 08021-4235
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Country | US
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Telephone | 856-387-3807
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Fax |
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Authorized Official
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Title or Position | MANGER, LCSW
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Name | MS. TIFFANY L LOGAN
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Credential | LCSW
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Telephone | 856-287-3807
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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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