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General NPI Number Information
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NPI Number | 1073575585
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Entity Type | Organization
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Legal Business Name | REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 6250 REGIONAL PLZ SUITE 1050
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City | ABILENE
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State | TX
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Zip | 79606-5262
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Country | US
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Telephone | 325-428-5740
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Fax | 325-428-5749
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Provider Business Mailing Address
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Address Line | PO BOX 689022
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City | FRANKLIN
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State | TN
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Zip | 37068-9022
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Country | US
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Telephone | 615-465-7626
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Fax | 615-628-6877
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Authorized Official
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Title or Position | DIRECTOR
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Name | MIKE SWAW
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Credential |
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Telephone | 615-465-7626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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