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General NPI Number Information
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NPI Number | 1790049039
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Entity Type | Organization
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Legal Business Name | HOPE HOMES, INC
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 07/02/2012
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Provider Practice Location Address
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Address Line | 7804 FAIRVIEW RD SUITE 166
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City | CHARLOTTE
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State | NC
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Zip | 28226-4998
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Country | US
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Telephone | 678-556-0840
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Fax |
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Provider Business Mailing Address
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Address Line | 1741 SPRING ST SE
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City | SMYRNA
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State | GA
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Zip | 30080-2439
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. DICK COTTRILL
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Credential |
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Telephone | 678-556-0840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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