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General NPI Number Information
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NPI Number | 1437904729
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Entity Type | Organization
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Legal Business Name | ACCORD COUNSELING LLC.
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 5856 DERRINGER RD
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City | RAPID CITY
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State | SD
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Zip | 57703-9054
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Country | US
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Telephone | 605-484-7751
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Fax |
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Provider Business Mailing Address
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Address Line | 5856 DERRINGER RD
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City | RAPID CITY
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State | SD
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Zip | 57703-9054
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Country | US
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Telephone | 605-484-7751
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Fax |
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | NICOLE ROBECK
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Credential | MA., ACT
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Telephone | 605-484-7751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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