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General NPI Number Information
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NPI Number | 1770882524
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Entity Type | Organization
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Legal Business Name | HOPE FAMILY MEDICINE CLINIC INC
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 6138 LINNHAVEN DR
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City | HOUSTON
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State | TX
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Zip | 77072-1530
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Country | US
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Telephone | 281-394-3867
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Fax |
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Provider Business Mailing Address
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Address Line | 6138 LINNHAVEN DR
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City | HOUSTON
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State | TX
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Zip | 77072-1530
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Country | US
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Telephone | 281-394-3867
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | OLUFOLAKE OGUNLADE
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Credential | NPC
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Telephone | 281-394-3867
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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 | 599032
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License Number State | TX
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