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General NPI Number Information
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NPI Number | 1881371458
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Entity Type | Organization
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Legal Business Name | HOPEWELL HEALTH CENTERS, INC.
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 420 5TH ST. OFFICE 236
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City | BEVERLY
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State | OH
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Zip | 45715
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Country | US
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Telephone | 740-656-1093
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-0188
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Country | US
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Telephone | 740-773-4366
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Fax | 740-773-4426
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Authorized Official
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Title or Position | CEO
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Name | MARK BRIDENBAUGH
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Credential |
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Telephone | 740-773-4366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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