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General NPI Number Information
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NPI Number | 1427235753
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Entity Type | Organization
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Legal Business Name | HEART CONNECTIONS PLLC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 1624 PLAZA WAY SUITE 101
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City | WALLA WALLA
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State | WA
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Zip | 99362
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Country | US
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Telephone | 509-529-7730
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Fax | 509-525-9734
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Provider Business Mailing Address
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Address Line | 1624 PLAZA WAY SUITE 101
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City | WALLA WALLA
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State | WA
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Zip | 99362
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Country | US
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Telephone | 509-529-7730
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Fax | 509-525-9734
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MS. KYLENE M WARD
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Credential | MSW
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Telephone | 509-529-7730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LW00008005
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LW00008005
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License Number State | WA
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