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General NPI Number Information
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NPI Number | 1891264917
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Entity Type | Organization
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Legal Business Name | CYNTHIA K HODGE LCSW LLC
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Dates
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Enumeration Date | 11/19/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 375 FLORAL AVE STE 111
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-3443
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Country | US
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Telephone | 717-503-4088
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Fax |
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Provider Business Mailing Address
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Address Line | 83 SUNNY LN
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City | CHAMBERSBURG
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State | PA
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Zip | 17202-4478
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Country | US
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Telephone | 717-503-4088
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA K HODGE
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Credential | LCSW
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Telephone | 717-503-4088
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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 |
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License Number State |
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