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General NPI Number Information
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NPI Number | 1225997778
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Entity Type | Organization
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Legal Business Name | RIZEWELL INC.
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 8735 DUNWOODY PL # 11254
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 585-340-7101
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Fax |
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Provider Business Mailing Address
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Address Line | 8735 DUNWOODY PL # 11254
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 585-340-7101
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | QUENTIN GAUSE
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Credential |
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Telephone | 585-201-0982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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