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General NPI Number Information
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NPI Number | 1386538015
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Entity Type | Individual
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Provider Name | RUSSELL ALLEN RINEHART MA, LPCA, ASAT, MDIV
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Gender | Male
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 3598 HIGHWAY 11 STE 202
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City | TRAVELERS REST
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State | SC
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Zip | 29690-3501
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Country | US
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Telephone | 864-365-6113
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Fax |
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Provider Business Mailing Address
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Address Line | 205 NOVELTY DR
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City | GREER
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State | SC
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Zip | 29651-1998
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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 |
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Name |
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Credential |
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Telephone |
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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 | 8525
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License Number State | SC
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