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General NPI Number Information
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NPI Number | 1851005805
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Entity Type | Organization
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Legal Business Name | HEART OF HOPE HOUSECALLS
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 801 ROAD TO SIX FLAGS W STE 128
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City | ARLINGTON
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State | TX
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Zip | 76012-2600
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Country | US
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Telephone | 682-249-2721
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Fax | 682-224-5385
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Provider Business Mailing Address
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Address Line | PO BOX 2212
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City | BURLESON
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State | TX
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Zip | 76097-2212
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Country | US
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Telephone | 832-600-5777
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAPHNE R JONES-BLACK
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Credential | FNP-BC
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Telephone | 682-249-2721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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