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General NPI Number Information
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NPI Number | 1932645991
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Entity Type | Organization
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Legal Business Name | HOPEFIELD HEALTHCARE SERVICES PLLC
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Dates
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Enumeration Date | 01/16/2017
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 30 SANDSTONE CIR
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City | JACKSON
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State | TN
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Zip | 38305-2073
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Country | US
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Telephone | 731-240-1695
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Fax | 731-240-1694
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Provider Business Mailing Address
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Address Line | 30 SANDSTONE CIR
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City | JACKSON
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State | TN
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Zip | 38305-2073
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Country | US
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Telephone | 862-218-1451
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Fax | 731-240-1694
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Authorized Official
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Title or Position | OWNER
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Name | DR. SYLVESTER A NWEDO
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Credential | MD
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Telephone | 862-218-1451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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