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General NPI Number Information
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NPI Number | 1700647773
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Entity Type | Organization
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Legal Business Name | CHRISTINAS' HOPE LLC
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 2126 MEMORIAL AVE SW APT 1
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City | ROANOKE
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State | VA
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Zip | 24015-2022
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Country | US
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Telephone | 703-851-1016
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Fax | 540-227-6156
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Provider Business Mailing Address
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Address Line | 2126 MEMORIAL AVE SW APT 1
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City | ROANOKE
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State | VA
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Zip | 24015-2022
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Country | US
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Telephone | 540-529-8128
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA DAWN DORMSTETTER-OKEEFE
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Credential | LPC
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Telephone | 540-528-8128
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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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