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General NPI Number Information
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NPI Number | 1831615616
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Entity Type | Organization
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Legal Business Name | SEEDS OF HOPE, LLC
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 9 AUSTIN DR STE 201
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City | MARLBOROUGH
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State | CT
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Zip | 06447-1375
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Country | US
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Telephone | 860-300-6700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 623
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City | HARWICH PORT
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State | MA
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Zip | 02646-0623
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Country | US
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Telephone | 860-300-6700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHELLY L KENNEDY
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Credential | LCSW
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Telephone | 860-300-6700
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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 | 7381
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License Number State | CT
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