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General NPI Number Information
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NPI Number | 1124515218
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Entity Type | Organization
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Legal Business Name | ENGAGE SERVICES, LLC
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 110 STATE ST
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City | PLANKINTON
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State | SD
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Zip | 57368-5736
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Country | US
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Telephone | 605-682-9258
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Fax | 605-734-8113
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Provider Business Mailing Address
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Address Line | PO BOX 65
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City | PLANKINTON
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State | SD
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Zip | 57368-0065
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Country | US
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Telephone | 605-682-9258
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Fax | 605-734-8113
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Authorized Official
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Title or Position | OWNER
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Name | MR. JONATHAN J BUSCH
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Credential | LPC-MH
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Telephone | 605-990-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2422
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License Number State | SD
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