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General NPI Number Information
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NPI Number | 1871903948
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Entity Type | Organization
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Legal Business Name | HOPE HEALTH SYSTEMS
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 6707 WHITESTONE RD STE 106
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City | WOODLAWN
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State | MD
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Zip | 21207-4140
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Country | US
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Telephone | 410-265-8737
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Fax |
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Provider Business Mailing Address
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Address Line | 6707 WHITESTONE RD STE 106
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City | WOODLAWN
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State | MD
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Zip | 21207-4140
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Country | US
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Telephone | 410-265-8737
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Fax |
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Authorized Official
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Title or Position | CHEIF OFFICER
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Name | MR. OLANRELE FADIORA
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Credential | CFO
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Telephone | 410-865-7549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 14545
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License Number State | MD
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