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NPI 1578122735

NPI 1578122735 : HOPE A HUNT LISW : DES MOINES, IA

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General NPI Number Information
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    NPI Number           |    1578122735
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    Entity Type          |    Individual 
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    Provider Name        |    HOPE A HUNT LISW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/11/2019
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    Last Update Date     |    12/02/2021
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Provider Practice Location Address
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    Address Line         |    4685 MERLE HAY RD STE 205 
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    City                 |    DES MOINES
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    State                |    IA
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    Zip                  |    50322-1982
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    Country              |    US
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    Telephone            |    217-352-0917
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    717 PHILLIPS ST 
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    City                 |    POLK CITY
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    State                |    IA
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    Zip                  |    50226-2018
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    Country              |    US
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    Telephone            |    515-571-8169
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    095199
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    License Number State |    IA
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