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General NPI Number Information
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NPI Number | 1033365192
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Entity Type | Organization
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Legal Business Name | REACH EMPLOYEE ASSISTANCE PROGRAM
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 5372 FALLOWATER LN SUITE B
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City | ROANOKE
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State | VA
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Zip | 24018-0907
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Country | US
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Telephone | 800-950-3434
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Fax | 540-776-5725
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Provider Business Mailing Address
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Address Line | 5372 FALLOWATER LN SUITE B
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City | ROANOKE
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State | VA
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Zip | 24018-0907
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Country | US
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Telephone | 800-950-3434
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Fax | 540-776-5725
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | SUSAN SWAN
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Credential | CEAP
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Telephone | 800-950-3434
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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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