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General NPI Number Information
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NPI Number | 1285117721
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Entity Type | Organization
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Legal Business Name | INNER PEACE COUNSELING
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 09/11/2018
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Provider Practice Location Address
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Address Line | 316 MAIN ST
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City | OXFORD
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State | MA
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Zip | 01540-1728
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Country | US
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Telephone | 914-803-3485
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Fax |
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Provider Business Mailing Address
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Address Line | 316 MAIN ST
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City | OXFORD
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State | MA
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Zip | 01540-1728
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Country | US
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Telephone | 508-926-9295
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MRS. LIGIA M HAMMIEL
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Credential | LMHC
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Telephone | 914-803-3485
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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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