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General NPI Number Information
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NPI Number | 1750144333
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Entity Type | Organization
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Legal Business Name | VIRTUAL HOPE BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 5945 LANSDOWNE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19151-3932
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Country | US
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Telephone | 267-485-5227
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Fax | 267-485-5228
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Provider Business Mailing Address
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Address Line | 5945 LANSDOWNE
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City | PHILADELPHIA
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State | PA
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Zip | 19151
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Country | US
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Telephone | 267-577-0719
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BERNADETTE MOMOH
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Credential | NURSE PRACTITIONER
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Telephone | 267-485-5227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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