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General NPI Number Information
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NPI Number | 1891855847
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Entity Type | Organization
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Legal Business Name | HOPE FAMILY CENTER PC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 210 MAGNOLIA SQUARE CT
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City | ABERDEEN
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State | NC
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Zip | 28315
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Country | US
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Telephone | 910-944-0779
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Fax | 910-944-2298
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Provider Business Mailing Address
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Address Line | 210 MAGNOLIA SQUARE CT
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City | ABERDEEN
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State | NC
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Zip | 28315
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Country | US
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Telephone | 910-944-0779
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Fax | 910-944-2298
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. MYRA D HALL
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Credential | MD
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Telephone | 910-944-0779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36463
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License Number State | NC
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