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General NPI Number Information
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NPI Number | 1780830992
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Entity Type | Organization
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Legal Business Name | ASPIRING HEARTS COUNSELING, PLLC
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 3755 BENSON DR
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City | RALEIGH
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State | NC
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Zip | 27609-7324
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Country | US
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Telephone | 919-538-3458
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Fax |
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Provider Business Mailing Address
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Address Line | 4212 CLAYBOURNE DR
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City | RALEIGH
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State | NC
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Zip | 27616-6599
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Country | US
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Telephone | 919-538-3458
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. THOMAS GERARD COOGAN JR.
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Credential | MA, LPC
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Telephone | 919-538-3458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6563
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License Number State | NC
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