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General NPI Number Information
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NPI Number | 1407580418
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Entity Type | Organization
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Legal Business Name | HEALING HOPES
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 13512 DEL MARINO AVE
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City | POWAY
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State | CA
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Zip | 92064
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Country | US
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Telephone | 619-897-4325
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Fax | 858-668-0808
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Provider Business Mailing Address
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Address Line | 4275 EXECUTIVE SQ STE 200
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City | LA JOLLA
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State | CA
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Zip | 92037-1476
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Country | US
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Telephone | 619-897-4325
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Fax | 858-668-0808
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Authorized Official
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Title or Position | LCSW
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Name | OTISHIA HILL
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Credential | LCSW
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Telephone | 619-897-4325
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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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