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General NPI Number Information
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NPI Number | 1265143028
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Entity Type | Organization
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Legal Business Name | REUNITE, LLC
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 10922 SCHUETZ RD
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City | SAINT LOUIS
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State | MO
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Zip | 63146-5704
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Country | US
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Telephone | 512-660-7303
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Fax |
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Provider Business Mailing Address
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Address Line | 12430 TESSON FERRY RD STE 206
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2702
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Country | US
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Telephone | 512-660-7303
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | BRANDI HOTOP
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Credential | LCSW
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Telephone | 512-660-7303
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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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Taxonomy #2
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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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