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General NPI Number Information
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NPI Number | 1689173130
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Entity Type | Organization
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Legal Business Name | NEW HOPE COUNSELING
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Dates
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Enumeration Date | 02/09/2018
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Last Update Date | 02/09/2018
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Provider Practice Location Address
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Address Line | 1 WILDCAT WAY
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City | LOGAN
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State | WV
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Zip | 25601-3474
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Country | US
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Telephone | 304-785-7702
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Fax |
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Provider Business Mailing Address
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Address Line | 5523 COW CREEK RD
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City | OMAR
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State | WV
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Zip | 25638-8415
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANDRA MAYNARD
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Credential |
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Telephone | 304-785-7702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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