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General NPI Number Information
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NPI Number | 1134800295
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Entity Type | Organization
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Legal Business Name | 2 C HOPE LLC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 1131 W CONWAY RD UNIT B
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City | HARBOR SPRINGS
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State | MI
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Zip | 49740-9642
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Country | US
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Telephone | 231-753-8191
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2061
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City | PETOSKEY
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State | MI
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Zip | 49770-2061
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Country | US
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Telephone | 231-620-1211
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY ANN ZIMMER
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Credential | LMSW
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Telephone | 231-620-1211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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