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General NPI Number Information
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NPI Number | 1366637472
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Entity Type | Organization
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Legal Business Name | HOPE CHRISTIAN COUNSELING PLLC
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 1711 COURT ST
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City | SAGINAW
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State | MI
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Zip | 48602-4072
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Country | US
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Telephone | 989-399-9233
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5983
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City | SAGINAW
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State | MI
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Zip | 48603-0983
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Country | US
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Telephone | 989-399-9233
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Fax | 989-399-9234
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. RANDALL R MEY
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Credential | MSW, LMFT
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Telephone | 989-399-9233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 4101006152
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License Number State | MI
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