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General NPI Number Information
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NPI Number | 1750053518
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Entity Type | Organization
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Legal Business Name | HOPE AGING CARE LLC
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 172 MONTE VISTA AVE
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City | COSTA MESA
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State | CA
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Zip | 92627-5149
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Country | US
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Telephone | 949-836-2812
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Fax |
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Provider Business Mailing Address
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Address Line | 1048 IRVINE AVE # 840
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-4602
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Country | US
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Telephone | 949-836-2812
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Fax | 949-209-2612
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Authorized Official
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Title or Position | CARE MANAGER
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Name | ANNA MAURIZI
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Credential |
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Telephone | 949-836-2812
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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