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General NPI Number Information
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NPI Number | 1467769802
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Entity Type | Organization
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Legal Business Name | HEART TRANSACTIONS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/07/2010
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 2026 FULTON RD NW SUITE C
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City | CANTON
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State | OH
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Zip | 44709-3564
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Country | US
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Telephone | 330-451-2060
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Fax | 330-451-2061
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Provider Business Mailing Address
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Address Line | 2026 FULTON RD NW SUITE C
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City | CANTON
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State | OH
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Zip | 44709-3564
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Country | US
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Telephone | 330-451-2060
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Fax | 330-451-2061
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELINE SCOLARO
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Credential | LISW-S
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Telephone | 330-451-2060
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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 | I0030725
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License Number State | OH
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