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General NPI Number Information
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NPI Number | 1144188996
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Entity Type | Organization
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Legal Business Name | REALIGN AND RECLAMATION, LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 7861 N GRAND AVE
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City | HAYWARD
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State | WI
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Zip | 54843-2059
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Country | US
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Telephone | 401-206-0593
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 289
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City | HAYWARD
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State | WI
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Zip | 54843-0289
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Country | US
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Telephone | 401-206-0593
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED CLINICAL SOCIAL WORK
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Name | SAVANNAH TAYLOR
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Credential | LCSW
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Telephone | 401-206-0593
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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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