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General NPI Number Information
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NPI Number | 1316766983
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Entity Type | Organization
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Legal Business Name | MEZZO SOLUTIONS LLC.
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 814 E MAIN ST
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City | RICHMOND
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State | IN
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Zip | 47374-4316
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Country | US
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Telephone | 765-697-9567
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Fax | 256-474-8406
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Provider Business Mailing Address
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Address Line | 814 E MAIN ST
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City | RICHMOND
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State | IN
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Zip | 47374-4316
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Country | US
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Telephone | 765-697-9567
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Fax | 256-474-8406
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. MEGAN RIPBERGER
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Credential | MSW, LCSW, LISW
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Telephone | 765-697-9567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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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