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General NPI Number Information
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NPI Number | 1831135904
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Entity Type | Organization
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Legal Business Name | HEART TO HEART COMMUNICATION, L.C.
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 319 LINCOLN WAY
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City | AMES
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State | IA
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Zip | 50010-3309
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Country | US
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Telephone | 515-233-8473
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Fax | 515-233-5810
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Provider Business Mailing Address
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Address Line | PO BOX 224
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City | AMES
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State | IA
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Zip | 50010-0224
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Country | US
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Telephone | 515-233-8472
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Fax | 515-233-5810
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Authorized Official
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Title or Position | MANAGER
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Name | DR. BING WALL
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Credential | PH.D.
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Telephone | 515-233-8473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 00172
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License Number State | IA
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