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General NPI Number Information
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NPI Number | 1952753170
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Entity Type | Organization
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Legal Business Name | CHILDREN OF HOPE INC
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 3708 GOLDCREST HTS NW
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City | OLYMPIA
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State | WA
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Zip | 98502-4006
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Country | US
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Telephone | 618-616-5623
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Fax |
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Provider Business Mailing Address
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Address Line | 3708 GOLDCREST HTS NW
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City | OLYMPIA
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State | WA
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Zip | 98502-4006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS IRIS MARCELA WIRTH
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Credential | HM 60587680
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Telephone | 618-616-5623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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