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General NPI Number Information
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NPI Number | 1962177428
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Entity Type | Organization
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Legal Business Name | HOPE RESTORED LLC
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 25672 MINOS ST
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City | MISSION VIEJO
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State | CA
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Zip | 92691-4659
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Country | US
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Telephone | 949-973-1489
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Fax |
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Provider Business Mailing Address
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Address Line | 46 BONITA VISTA
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City | FOOTHILL RANCH
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State | CA
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Zip | 92610
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Country | US
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Telephone | 949-973-1489
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CONSUELO KAYE GRIMES
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Credential |
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Telephone | 949-973-1489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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