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General NPI Number Information
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NPI Number | 1184025801
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Entity Type | Organization
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Legal Business Name | RESOLUTION GROUP INC
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 13512 MINNIEVILLE RD STE 271
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4208
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Country | US
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Telephone | 703-680-5183
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Fax |
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Provider Business Mailing Address
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Address Line | 13512 MINNIEVILLE RD STE 271
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4208
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Country | US
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Telephone | 703-680-5183
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ORLANDO SMALL
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Credential |
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Telephone | 202-420-1463
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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 |
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License Number State |
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