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General NPI Number Information
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NPI Number | 1104170943
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Entity Type | Organization
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Legal Business Name | NEW HOPE PERSONAL DEVELOPMENT CENTRE LLC
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 140 SILVER TAIL LN.
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City | NEW HOPE
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State | PA
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Zip | 18938-5763
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Country | US
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Telephone | 215-693-1010
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Fax | 215-693-1128
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Provider Business Mailing Address
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Address Line | 140 SILVER TAIL LN.
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City | NEW HOPE
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State | PA
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Zip | 18938-5763
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Country | US
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Telephone | 215-693-1010
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Fax | 215-693-1128
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. LINDA JEANNE ROONEY
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Credential | LPC
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Telephone | 215-375-6684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00306200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC005928
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License Number State | PA
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