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General NPI Number Information
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NPI Number | 1558928960
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Entity Type | Organization
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Legal Business Name | HOPE HARMONY & HOLISTIC HEALTH COUNSELING CENTER
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 1565 W LOSEY ST
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City | GALESBURG
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State | IL
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Zip | 61401-2301
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Country | US
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Telephone | 312-728-7748
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Fax |
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Provider Business Mailing Address
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Address Line | 1565 W LOSEY ST
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City | GALESBURG
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State | IL
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Zip | 61401-2301
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Country | US
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Telephone | 312-728-7748
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CANDACE WHITMAN
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Credential | LCPC
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Telephone | 312-728-7748
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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 |
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License Number State |
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