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General NPI Number Information
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NPI Number | 1063843316
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Entity Type | Organization
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Legal Business Name | HOT SPRINGS COUNSELING
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 146 FILES RD
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6914
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Country | US
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Telephone | 501-545-8461
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Fax |
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Provider Business Mailing Address
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Address Line | 146 FILES RD
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6914
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Country | US
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Telephone | 501-545-8461
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. NANCY D. GRANT-HORN
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Credential | LPC
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Telephone | 501-545-8461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PO808067
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License Number State | AR
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