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NPI 1952676330

NPI 1952676330 : HOPE FIRST LLC : EMPORIA, VA

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General NPI Number Information
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    NPI Number           |    1952676330
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOPE FIRST LLC 
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Dates
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    Enumeration Date     |    03/19/2012
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    Last Update Date     |    03/19/2012
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Provider Practice Location Address
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    Address Line         |    215 WEAVER AVE 
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    City                 |    EMPORIA
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    State                |    VA
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    Zip                  |    23847-1248
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    Country              |    US
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    Telephone            |    434-336-9000
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    Fax                  |    434-336-9015
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Provider Business Mailing Address
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    Address Line         |    215 WEAVER AVE 
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    City                 |    EMPORIA
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    State                |    VA
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    Zip                  |    23847-1248
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    Country              |    US
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    Telephone            |    434-336-9000
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    Fax                  |    434-336-9015
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |    MRS. KOTEKA OGBURN JENKINS 
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    Credential           |    
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    Telephone            |    252-213-0489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    1670
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    License Number State |    VA
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