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General NPI Number Information
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NPI Number | 1154069409
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Entity Type | Organization
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Legal Business Name | HOPE LAND THERAPY, LLC
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 8745 W. HIGGINS RD SUITE 110
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City | CHICAGO
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State | IL
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Zip | 60631
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Country | US
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Telephone | 708-274-7991
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Fax |
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Provider Business Mailing Address
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Address Line | 680 WENTWORTH AVE UNIT 225
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City | CALUMET CITY
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State | IL
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Zip | 60409-6709
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Country | US
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Telephone | 708-274-7991
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Fax |
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Authorized Official
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Title or Position | OWNER / THERAPIST
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Name | NATASHA LENTNER
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Credential | LMFT
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Telephone | 219-331-8735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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