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General NPI Number Information
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NPI Number | 1487597712
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Entity Type | Organization
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Legal Business Name | RESILIENT RESTORATION LLC
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Dates
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Enumeration Date | 04/11/2026
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Last Update Date | 04/11/2026
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Provider Practice Location Address
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Address Line | 11789 FANTASIA CT
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City | SAN DIEGO
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State | CA
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Zip | 92131-3814
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Country | US
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Telephone | 619-944-8088
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 ARCTIC BLVD STE 201
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City | ANCHORAGE
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State | AK
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Zip | 99503-4579
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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 | TIFFANY CALLAWAY
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Credential | LCSW
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Telephone | 619-944-8088
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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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