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General NPI Number Information
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NPI Number | 1295358711
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Entity Type | Organization
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Legal Business Name | HOPE WITHIN, LLC
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 5 BROOK ST STE A1
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City | DARIEN
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State | CT
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Zip | 06820-4549
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Country | US
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Telephone | 203-858-8834
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Fax |
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Provider Business Mailing Address
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Address Line | 97 FIVE MILE RIVER RD
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City | DARIEN
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State | CT
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Zip | 06820-6233
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Country | US
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Telephone | 203-858-8834
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Fax |
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Authorized Official
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Title or Position | OWENER
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Name | SUSAN SHUFFIELD ELLIOTT
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Credential |
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Telephone | 203-858-8834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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