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General NPI Number Information
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NPI Number | 1073145744
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Entity Type | Organization
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Legal Business Name | HOPE & RESILIENCE LLC
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 150 BROADHOLLOW RD STE 310
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City | MELVILLE
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State | NY
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Zip | 11747-4987
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Country | US
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Telephone | 631-897-7094
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 220
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City | KINGS PARK
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State | NY
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Zip | 11754-0220
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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 | PMHNP
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Name | KATE AILEEN LINDSTADT
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Credential | PMHNP
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Telephone | 631-897-7094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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