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NPI 1922424597

NPI 1922424597 : HOPE MERRILL LCSW : BATESVILLE, AR

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General NPI Number Information
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    NPI Number           |    1922424597
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    Entity Type          |    Individual 
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    Provider Name        |    HOPE MERRILL LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/06/2014
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    Last Update Date     |    02/11/2025
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Provider Practice Location Address
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    Address Line         |    2000 HARRISON ST STE D 
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    City                 |    BATESVILLE
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    State                |    AR
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    Zip                  |    72501-7444
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    Country              |    US
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    Telephone            |    870-569-4290
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    Fax                  |    870-569-4293
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Provider Business Mailing Address
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    Address Line         |    PO BOX 497 
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    City                 |    AUGUSTA
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    State                |    AR
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    Zip                  |    72006-0497
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    Country              |    US
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    Telephone            |    870-347-2534
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    7043-M
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    License Number State |    AR
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Taxonomy #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    7043-C
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    License Number State |    AR
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Taxonomy #3
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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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