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General NPI Number Information
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NPI Number | 1982327300
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Entity Type | Organization
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Legal Business Name | HOPEWELL CENTER LLC
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 1461 KENSINGTON AVE
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City | BUFFALO
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State | NY
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Zip | 14215-1444
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Country | US
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Telephone | 908-907-6096
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Fax |
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Provider Business Mailing Address
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Address Line | 1461 KENSINGTON AVE
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City | BUFFALO
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State | NY
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Zip | 14215-1444
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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 | HEALTH POLICY ANALYST
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Name | JULIE LYNN GEARTY
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Credential | ESQ.
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Telephone | 908-907-6096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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