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General NPI Number Information
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NPI Number | 1114395258
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Entity Type | Organization
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Legal Business Name | HOPE TREE COUNSELING SERVICES INC.
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Dates
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Enumeration Date | 09/07/2015
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 1420 W DONALD ST
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City | WATERLOO
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State | IA
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Zip | 50703-1624
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Country | US
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Telephone | 319-232-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 W DONALD ST
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City | WATERLOO
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State | IA
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Zip | 50703-1624
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Country | US
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Telephone | 319-232-4673
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Fax |
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | SARAH KIANI
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Credential |
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Telephone | 319-232-4673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 470-3006
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License Number State | IA
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