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General NPI Number Information
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NPI Number | 1073615340
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Entity Type | Organization
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Legal Business Name | HEARTHSTONE COUNSELING ASSOCIATES PLC
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3209 INTERSOLL AVE SUITE 205
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City | DES MOINES
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State | IA
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Zip | 50312
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Country | US
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Telephone | 515-279-2834
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Fax | 515-279-4168
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Provider Business Mailing Address
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Address Line | 3209 INTERSOLL AVE SUITE 205
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City | DES MOINES
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State | IA
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Zip | 50312
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Country | US
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Telephone | 515-279-2834
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Fax | 515-279-4168
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SONIA PANCOAST
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Credential |
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Telephone | 515-279-2834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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