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General NPI Number Information
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NPI Number | 1316231079
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Entity Type | Organization
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Legal Business Name | HOPE PASTORAL CARE & COUNSELING
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Dates
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Enumeration Date | 05/30/2011
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Last Update Date | 05/30/2011
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Provider Practice Location Address
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Address Line | 300 S EL CAMINO REAL STE 104
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-5557
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Country | US
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Telephone | 949-584-5957
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Fax | 360-323-7285
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Provider Business Mailing Address
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Address Line | 300 S EL CAMINO REAL STE 104
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-5557
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Country | US
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Telephone | 949-584-5957
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Fax | 360-323-7285
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSHUA LAWRENCE BEAUCHAINE
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Credential | M.S. LMFT
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Telephone | 949-584-5957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | CA
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