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General NPI Number Information
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NPI Number | 1205601143
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Entity Type | Organization
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Legal Business Name | HOPE FOR THE HEART MARRIAGE AND FAMILY THERAPY PC
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 13605 SANFORD AVE APT 1M
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City | FLUSHING
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State | NY
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Zip | 11355-3118
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Country | US
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Telephone | 646-229-3563
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Fax |
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Provider Business Mailing Address
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Address Line | 14606 HOLLY AVE
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City | FLUSHING
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State | NY
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Zip | 11355-2247
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Country | US
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Telephone | 646-229-3563
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN W KONG
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Credential | D. MIN
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Telephone | 646-229-3563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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