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General NPI Number Information
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NPI Number | 1114783370
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Entity Type | Organization
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Legal Business Name | HAND OF HOPE COUNSELING, LLC
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 20847 CROOKED CREEK ROAD
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City | KASILOF
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State | AK
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Zip | 99610
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Country | US
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Telephone | 907-521-2800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | KASILOF
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State | AK
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Zip | 99610
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Country | US
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Telephone | 907-521-2800
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELLY L MARE
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Credential | LCSW
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Telephone | 907-521-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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