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General NPI Number Information
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NPI Number | 1215505607
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Entity Type | Organization
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Legal Business Name | RED CEDARTRANSITIONS, PC
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 16 ARLINGTON ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-2006
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Country | US
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Telephone | 801-209-8936
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Fax |
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Provider Business Mailing Address
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Address Line | 45 TREMONT ST
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City | ASHEVILLE
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State | NC
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Zip | 28806-4211
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN TOBIAS III
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Credential | LCUEHC
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Telephone | 801-209-8936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 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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