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General NPI Number Information
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NPI Number | 1134452782
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Entity Type | Organization
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Legal Business Name | HOPE COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 12/18/2011
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Provider Practice Location Address
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Address Line | 1133 JEFFERSON GREEN CIR
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-4300
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Country | US
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Telephone | 804-717-1111
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Fax | 804-717-1185
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Provider Business Mailing Address
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Address Line | PO BOX 555
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-0555
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Country | US
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Telephone | 804-717-1111
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Fax | 804-717-1185
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Authorized Official
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Title or Position | MEMBER
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Name | MRS. DEBORAH L. DANIEL
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Credential | LCSW
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Telephone | 804-717-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 0904002044
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License Number State | VA
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