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General NPI Number Information
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NPI Number | 1255674941
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Entity Type | Organization
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Legal Business Name | HOPE UNLIMITED COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 112B BOLT DR
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City | LAURENS
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State | SC
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Zip | 29360-1900
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Country | US
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Telephone | 864-681-3798
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1543
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City | LAURENS
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State | SC
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Zip | 29360-1543
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Country | US
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Telephone | 864-681-3798
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DEIDRA S STEWART
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Credential | LISW-CP
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Telephone | 864-681-3798
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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 | SC9621
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License Number State | SC
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