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General NPI Number Information
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NPI Number | 1104412311
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Entity Type | Organization
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Legal Business Name | CONNECTING HEARTS, LLC
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Dates
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Enumeration Date | 12/13/2020
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Last Update Date | 12/13/2020
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Provider Practice Location Address
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Address Line | 4324 E MORROW DR
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City | PHOENIX
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State | AZ
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Zip | 85050-3731
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Country | US
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Telephone | 480-262-4687
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Fax |
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Provider Business Mailing Address
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Address Line | 4324 E MORROW DR
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City | PHOENIX
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State | AZ
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Zip | 85050-3731
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Country | US
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Telephone | 480-262-4687
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Fax |
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Authorized Official
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Title or Position | CLINICIAN/OWNER
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Name | AMNA SADDIK GILMORE
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Credential | LPC
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Telephone | 480-269-6242
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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 |
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License Number State |
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