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General NPI Number Information
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NPI Number | 1972367142
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Entity Type | Organization
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Legal Business Name | HOPE MENDS COUNSELING
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 1091 E END RD
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City | HOMER
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State | AK
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Zip | 99603-7206
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Country | US
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Telephone | 907-416-3500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 925
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City | KASILOF
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State | AK
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Zip | 99610-0925
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VANESSA PRISCILLA PERRY
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Credential |
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Telephone | 907-416-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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