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General NPI Number Information
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NPI Number | 1275184723
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Entity Type | Organization
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Legal Business Name | RESET BUTTON COUNSELING LLC
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Dates
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Enumeration Date | 09/26/2019
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 4041 N HIGH ST STE 300L
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City | COLUMBUS
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State | OH
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Zip | 43214-3200
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Country | US
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Telephone | 614-931-0228
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Fax |
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Provider Business Mailing Address
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Address Line | 498 HANFORD ST
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City | COLUMBUS
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State | OH
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Zip | 43206-2820
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Country | US
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Telephone | 614-931-0228
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | RYAN WILLIAM HANSEN
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Credential | PH.D.
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Telephone | 316-409-0804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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