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General NPI Number Information
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NPI Number | 1912825738
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOPE LLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 414 SHOUP AVE W STE C338
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City | TWIN FALLS
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State | ID
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Zip | 83301-5027
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Country | US
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Telephone | 623-666-1418
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Fax |
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Provider Business Mailing Address
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Address Line | 414 SHOUP AVE W STE C338
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City | TWIN FALLS
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State | ID
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Zip | 83301-5027
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Country | US
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Telephone | 623-666-1418
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING DIRECTOR
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Name | MARCEE JONES
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Credential | NCMA/ASCI
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Telephone | 410-824-1480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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