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NPI Code Detail

MEDICARE: HOPE TULA

MEDICARE:   HOPE  TULA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1770199242
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOPE TULA
Provider Business Mailing Address
First Line : 115 DOUGLAS RD APT SUITE
Second Line :
City : SUTTON
State : MA
Zip : 01590-1159
Country : US
Telephone Number : 508-826-7998
Fax Number :
Provider Business Practice Location Address
First Line : 315 TURNPIKE ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5800
Country : US
Telephone Number : 508-826-7998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2020
Last Update Date : 09/21/2020

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Directions to “ HOPE TULA ” Practice Location

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