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General NPI Number Information
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NPI Number | 1295331908
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Entity Type | Organization
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Legal Business Name | THE HOPE AND HEALING CENTER
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 1111 S MAIN ST
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City | NORTH CANTON
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State | OH
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Zip | 44720-3601
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Country | US
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Telephone | 330-846-3630
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35876
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City | CANTON
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State | OH
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Zip | 44735-5876
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND PRESIDENT
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Name | SHANNON ORTIZ
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Credential | LPPCC-S
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Telephone | 330-846-3630
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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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