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General NPI Number Information
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NPI Number | 1982179602
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Entity Type | Organization
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Legal Business Name | SPRING CENTER OF HOPE
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Dates
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Enumeration Date | 10/09/2018
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Last Update Date | 10/09/2018
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Provider Practice Location Address
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Address Line | 20008 CHAMPION FOREST DR STE 1202
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City | SPRING
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State | TX
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Zip | 77379-8697
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Country | US
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Telephone | 832-559-7310
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Fax |
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Provider Business Mailing Address
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Address Line | 17211 CHAGALL LN
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City | SPRING
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State | TX
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Zip | 77379-6273
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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 | DR. CINDY VAN PRAAG
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Credential | MD
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Telephone | 832-559-7310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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