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General NPI Number Information
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NPI Number | 1992914949
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Entity Type | Organization
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Legal Business Name | HEALING FROM THE HEART, INC.
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/21/2014
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Provider Practice Location Address
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Address Line | 5340 TRAYLOR AVE
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City | SARASOTA
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State | FL
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Zip | 34234-3305
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Country | US
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Telephone | 941-358-0807
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Fax | 941-359-0709
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Provider Business Mailing Address
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Address Line | 5340 TRAYLOR AVE
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City | SARASOTA
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State | FL
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Zip | 34234-3305
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Country | US
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Telephone | 941-358-0807
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Fax | 941-359-0709
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KATHLEEN COTY RASKIN
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Credential | LCSW
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Telephone | 941-358-0807
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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 | SW2103
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License Number State | FL
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