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NPI 1851969232

NPI 1851969232 : HOPE & HEALTH CLINIC INC. : SANDY SPRINGS, GA

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General NPI Number Information
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    NPI Number           |    1851969232
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOPE & HEALTH CLINIC INC. 
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Dates
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    Enumeration Date     |    06/14/2021
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    Last Update Date     |    07/22/2021
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Provider Practice Location Address
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    Address Line         |    7887 ROSWELL RD STE B 
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    City                 |    SANDY SPRINGS
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    State                |    GA
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    Zip                  |    30350-4829
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    Country              |    US
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    Telephone            |    404-984-8357
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    790 CHAMPIONS CLUB DR 
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    City                 |    ALPHARETTA
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    State                |    GA
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    Zip                  |    30004-6955
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    Country              |    US
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    Telephone            |    404-984-8357
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. JESUS G VAZQUEZ-FIGUEROA 
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    Credential           |    MD
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    Telephone            |    404-984-8357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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