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General NPI Number Information
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NPI Number | 1801932892
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Entity Type | Organization
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Legal Business Name | HOPE INTHE CAROLINA, L.L.C.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 302 N. MAIN STREET SUITE 2
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City | KENANSVILLE
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State | NC
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Zip | 28349-9091
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Country | US
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Telephone | 910-916-3929
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1576
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City | ROSEBORO
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State | NC
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Zip | 28382-1576
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Country | US
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Telephone | 910-916-3929
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Fax |
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Authorized Official
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Title or Position | EXCUTIVE DIRECTOR
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Name | MR. SHELTON JAMES PARKER
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Credential |
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Telephone | 910-916-3929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 3418143
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License Number State | NC
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