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General NPI Number Information
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NPI Number | 1700183530
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Entity Type | Organization
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Legal Business Name | HOPE THERAPY, INC.
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 3601 SW 29TH ST SUITE 209
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City | TOPEKA
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State | KS
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Zip | 66614-2078
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Country | US
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Telephone | 785-806-7712
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 SW 29TH ST SUITE 209
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City | TOPEKA
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State | KS
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Zip | 66614-2078
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Country | US
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Telephone | 785-806-7712
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOLEE VIRGINIA ECKERT
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Credential | LCP
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Telephone | 785-806-7712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LCP 325
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License Number State | KS
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