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General NPI Number Information
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NPI Number | 1871740852
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Entity Type | Organization
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Legal Business Name | BRIM OF HOPE
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 1609 HIGHVIEW CIR
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City | FRANKFORT
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State | KY
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Zip | 40601-8974
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Country | US
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Telephone | 502-836-9622
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Fax |
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Provider Business Mailing Address
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Address Line | 1609 HIGHVIEW CIRCLE
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City | FRANKFORT
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State | KY
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Zip | 40601
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Country | US
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Telephone | 502-836-9622
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNIE SMITH
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Credential |
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Telephone | 502-839-9622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 0990847232
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License Number State | KY
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