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General NPI Number Information
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NPI Number | 1316299373
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Entity Type | Organization
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Legal Business Name | INTUITIVE RESOURCE GROUP, LLC
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 612 E COLONIAL DR STE 390
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City | ORLANDO
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State | FL
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Zip | 32803-4650
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Country | US
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Telephone | 321-441-6038
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3402
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City | WINTER PARK
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State | FL
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Zip | 32790-3402
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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 | PRESIDENT
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Name | MR. PETER CRAIG RIVKEES
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Credential | MBA,MS, LMHC, NCC
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Telephone | 321-441-6038
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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 | IMH10426
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License Number State | FL
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