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General NPI Number Information
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NPI Number | 1093535932
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Entity Type | Organization
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Legal Business Name | EMPOWERING HOPE
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 38868 12TH AVE # 1135
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City | NORTH BRANCH
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State | MN
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Zip | 55056-6658
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Country | US
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Telephone | 612-710-0266
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Fax |
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Provider Business Mailing Address
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Address Line | 38868 12TH AVE # 1135
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City | NORTH BRANCH
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State | MN
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Zip | 55056-6658
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Country | US
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Telephone | 612-710-0266
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DEB A HESLI
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Credential | MSW LICSW
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Telephone | 612-710-0266
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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