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General NPI Number Information
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NPI Number | 1609212174
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Entity Type | Organization
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Legal Business Name | THE HEPT INSTITUTE LLC
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Dates
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Enumeration Date | 05/10/2013
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 19 E ALKALINE SPRINGS RD
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City | VANDALIA
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State | OH
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Zip | 45377-2631
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Country | US
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Telephone | 937-738-4378
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Fax | 844-833-1434
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Provider Business Mailing Address
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Address Line | 19 E ALKALINE SPRINGS RD
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City | VANDALIA
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State | OH
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Zip | 45377-2631
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Country | US
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Telephone | 937-738-4378
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Fax | 844-833-1434
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Authorized Official
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Title or Position | MEMBER
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Name | RICARDO R. REDDICK
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Credential |
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Telephone | 937-738-4378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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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