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General NPI Number Information
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NPI Number | 1760899165
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR HOPE AND HEALTH LLC
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 63 W LANCASTER AVE SUITE 5
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City | ARDMORE
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State | PA
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Zip | 19003-1413
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Country | US
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Telephone | 908-309-8344
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Fax |
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Provider Business Mailing Address
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Address Line | 63 W LANCASTER AVE SUITE 5
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City | ARDMORE
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State | PA
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Zip | 19003-1413
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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 | PROFESSIONAL COUNSELOR, PARTNER
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Name | MELISSA HARRISON
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Credential | MA LPC
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Telephone | 908-309-8344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PC007382
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License Number State | PA
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