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NPI 1467322149

NPI 1467322149 : RISE OVER RUN THERAPEUTIC SERVICES LLC : CLINTON, MD

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General NPI Number Information
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    NPI Number           |    1467322149
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    Entity Type          |    Organization 
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    Legal Business Name  |    RISE OVER RUN THERAPEUTIC SERVICES LLC 
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Dates
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    Enumeration Date     |    11/07/2025
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    Last Update Date     |    11/07/2025
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Provider Practice Location Address
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    Address Line         |    11604 SYLVIA LN 
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    City                 |    CLINTON
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    State                |    MD
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    Zip                  |    20735-4807
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    Country              |    US
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    Telephone            |    301-892-6428
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11604 SYLVIA LN 
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    City                 |    CLINTON
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    State                |    MD
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    Zip                  |    20735-4807
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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    |    OWNER
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    Name                 |     MONET  HINTON 
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    Credential           |    LCSW-C
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    Telephone            |    240-595-4657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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