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General NPI Number Information
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NPI Number | 1790500775
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Entity Type | Organization
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Legal Business Name | HOPERESTOREDMD LLC
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 132 MAIN STREET
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 609-336-5352
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Fax |
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Provider Business Mailing Address
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Address Line | 132 MAIN STREET
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 609-633-6535
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Fax |
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | DR. KAFILAT Y OJO
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Credential | MD
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Telephone | 732-801-7434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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