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General NPI Number Information
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NPI Number | 1710682323
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Entity Type | Organization
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Legal Business Name | WATERING HOPE, LLC
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 53 LITTLE KNOLL DR
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City | HANOVER
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State | PA
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Zip | 17331-9281
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Country | US
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Telephone | 301-467-2890
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 BALTIMORE ST SUITE 12, BOX 131
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City | HANOVER
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State | PA
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Zip | 17331
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Country | US
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Telephone | 410-635-4390
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARISSA A NEAL
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Credential | LCSW-C
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Telephone | 410-635-4390
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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 |
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License Number State |
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