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General NPI Number Information
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NPI Number | 1033073556
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Entity Type | Organization
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Legal Business Name | RESILIENT TRANSITIONS, LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 809 SE 28TH ST STE 1
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City | BENTONVILLE
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State | AR
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Zip | 72712-4268
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Country | US
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Telephone | 479-388-1528
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Fax | 866-837-0158
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Provider Business Mailing Address
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Address Line | 809 SE 28TH ST STE 1
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City | BENTONVILLE
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State | AR
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Zip | 72712-4268
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Country | US
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Telephone | 479-388-1528
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Fax | 866-837-0158
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Authorized Official
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Title or Position | CREDENTIALING OFFICER
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Name | KELLY BUNCH
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Credential |
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Telephone | 479-725-5115
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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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