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General NPI Number Information
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NPI Number | 1295908416
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Entity Type | Organization
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Legal Business Name | RESOLUTION THERAPY ASSOCIATES, PLLC
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 228 W MAIN ST STE. B
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City | LEBANON
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State | TN
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Zip | 37087-2744
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Country | US
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Telephone | 615-414-8249
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Fax |
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Provider Business Mailing Address
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Address Line | 228 W MAIN ST STE. B
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City | LEBANON
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State | TN
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Zip | 37087-2744
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Country | US
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Telephone | 615-414-8249
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTINA S JONES
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Credential | PH.D.
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Telephone | 615-414-8249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4196
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 2655
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License Number State | TN
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