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General NPI Number Information
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NPI Number | 1013138411
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Entity Type | Organization
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Legal Business Name | HEALING THE FAMILY CENTER INC.
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2914 E 32ND ST STE 308
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City | JOPLIN
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State | MO
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Zip | 64804-4402
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Country | US
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Telephone | 417-624-8333
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Fax | 417-624-0349
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Provider Business Mailing Address
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Address Line | 2914 E 32ND ST STE 308
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City | JOPLIN
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State | MO
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Zip | 64804-4402
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Country | US
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Telephone | 417-624-8333
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Fax | 417-624-8333
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PHIL VAUGHN HOBBS
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Credential | BS PSYCH-SOC.
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Telephone | 417-624-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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