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General NPI Number Information
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NPI Number | 1942093836
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Entity Type | Organization
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Legal Business Name | HOPE MEDICAL, LLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 505 N RIDGEWAY DR STE 283
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City | CLEBURNE
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State | TX
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Zip | 76033-5192
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Country | US
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Telephone | 817-517-7180
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Fax |
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Provider Business Mailing Address
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Address Line | 3235 N MESQUITE DR
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City | MESQUITE
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State | TX
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Zip | 75150-4044
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Country | US
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Telephone | 540-287-4495
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | ASHLEY LANEY
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Credential |
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Telephone | 540-287-4495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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