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General NPI Number Information
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NPI Number | 1730729088
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Entity Type | Organization
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Legal Business Name | HOPE SPRINGS BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 320 OUACHITA AVE SUITE 212
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City | HOT SPRINGS
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State | AR
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Zip | 71901
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Country | US
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Telephone | 870-819-1556
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 261
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City | HOT SPRINGS
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State | AR
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Zip | 71902-0261
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Country | US
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Telephone | 870-819-1556
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. CAROLYN A JENKINS
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Credential | PSYD
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Telephone | 870-819-1556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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