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General NPI Number Information
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NPI Number | 1487332672
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Entity Type | Organization
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Legal Business Name | FAITH HOPE LOVE LCSW PLLC
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 63-44 SAUNDERS STREET SUITE 102
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City | REGO PARK
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State | NY
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Zip | 11374
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Country | US
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Telephone | 347-479-2552
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Fax |
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Provider Business Mailing Address
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Address Line | 15051 VILLAGE ROAD UNIT 55A
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City | JAMAICA
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State | NY
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Zip | 11432-1021
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Country | US
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Telephone | 718-909-7742
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MICHELLE RODRIGUEZ
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Credential | LCSW-R
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Telephone | 718-909-7742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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