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General NPI Number Information
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NPI Number | 1861894198
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Entity Type | Organization
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Legal Business Name | VISION OF HOPE INTERNATIONAL INC.
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 1074 ARLINGTON AVE SW
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City | ATLANTA
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State | GA
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Zip | 30310-3830
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Country | US
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Telephone | 404-272-9214
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Fax | 404-848-1031
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Provider Business Mailing Address
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Address Line | 1074 ARLINGTON AVE SW
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City | ATLANTA
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State | GA
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Zip | 30310-3830
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Country | US
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Telephone | 404-272-9214
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Fax | 404-848-1031
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. FABIAN CONAWAY
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Credential | REVEREND
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Telephone | 404-272-9214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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