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General NPI Number Information
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NPI Number | 1417661463
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Entity Type | Organization
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Legal Business Name | RESET FAMILY SERVICES LLC
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 333 GREENE ST
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City | AUGUSTA
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State | GA
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Zip | 30901-1618
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Country | US
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Telephone | 706-906-8671
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Fax |
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Provider Business Mailing Address
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Address Line | 750 FORDHAM RD
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City | GROVETOWN
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State | GA
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Zip | 30813-0400
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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 | CO-OWNER
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Name | QUANIQUA CARLIE
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Credential |
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Telephone | 757-232-4266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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