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General NPI Number Information
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NPI Number | 1336511682
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Entity Type | Organization
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Legal Business Name | HARVESTING LOVE & HOPE, LLC
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 8530 PINEHURST ST
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City | DETROIT
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State | MI
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Zip | 48204-3044
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Country | US
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Telephone | 313-433-5177
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Fax |
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Provider Business Mailing Address
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Address Line | 2051 ROSA PARKS BLVD STE 1023
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City | DETROIT
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State | MI
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Zip | 48216-1556
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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 | CEO
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Name | DANIELLE SMITH FELLS
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Credential | B.S.
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Telephone | 313-433-5177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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