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General NPI Number Information
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NPI Number | 1831929975
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Entity Type | Organization
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Legal Business Name | CENTER OF HOPE VILLAGE
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Dates
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Enumeration Date | 08/05/2024
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 247 PEBBLESTONE DR
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City | HUNTSVILLE
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State | AL
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Zip | 35806-1180
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Country | US
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Telephone | 256-714-0973
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Fax |
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Provider Business Mailing Address
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Address Line | 247 PEBBLESTONE DR
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City | HUNTSVILLE
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State | AL
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Zip | 35806-1180
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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 | INCORPORATOR
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Name | KAREN HARRIS
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Credential | RN, BSN, MSM, CCM
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Telephone | 256-714-0973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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