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General NPI Number Information
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NPI Number | 1740737998
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Entity Type | Organization
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Legal Business Name | HOPE FOR HEALING, LLC
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 710 E SOUTH ST
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City | BELOIT
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State | KS
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Zip | 67420-3324
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Country | US
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Telephone | 785-534-1455
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Fax | 785-534-1456
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Provider Business Mailing Address
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Address Line | 710 E SOUTH ST
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City | BELOIT
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State | KS
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Zip | 67420-3324
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Country | US
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Telephone | 785-534-1455
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Fax | 785-534-1456
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | KATRINA JONES
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Credential | LCMFT
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Telephone | 785-534-1455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 9415
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2764
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License Number State | KS
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