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General NPI Number Information
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NPI Number | 1831760966
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Entity Type | Organization
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Legal Business Name | HOPE TREATMENT CENTER PLLC
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 17 W END AVE
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City | MIDDLEBORO
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State | MA
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Zip | 02346-1941
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Country | US
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Telephone | 774-766-9237
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Fax |
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Provider Business Mailing Address
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Address Line | 592 HUMPHREY ST
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City | SWAMPSCOTT
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State | MA
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Zip | 01907-2655
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Country | US
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Telephone | 781-801-7079
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATE DUPRE
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Credential | APRN PHD
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Telephone | 774-766-9237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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