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General NPI Number Information
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NPI Number | 1497462436
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Entity Type | Organization
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Legal Business Name | RESOURCE THERAPY, PLLC
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 51 MONTFORD DR
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City | GARNER
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State | NC
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Zip | 27529-6878
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Country | US
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Telephone | 706-455-6866
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Fax |
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Provider Business Mailing Address
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Address Line | 51 MONTFORD DR
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City | GARNER
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State | NC
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Zip | 27529-6878
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Country | US
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Telephone | 706-455-6866
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KERRY M DOWD
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Credential | LCSW
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Telephone | 706-455-6866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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