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General NPI Number Information
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NPI Number | 1639834534
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Entity Type | Organization
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Legal Business Name | SEEDS OF HOPE COUNSELING
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 2279 EAGLE GLEN PKWY STE 112
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City | CORONA
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State | CA
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Zip | 92883-0790
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Country | US
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Telephone | 951-290-8093
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Fax | 951-823-5719
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Provider Business Mailing Address
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Address Line | 2279 EAGLE GLEN PKWY STE 112
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City | CORONA
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State | CA
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Zip | 92883-0790
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Country | US
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Telephone | 951-290-8093
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Fax | 951-823-5719
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Authorized Official
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Title or Position | CEO
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Name | MS. RACHEL SHAW
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Credential | LMFT
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Telephone | 951-290-8093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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