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General NPI Number Information
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NPI Number | 1649770363
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Entity Type | Organization
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Legal Business Name | RESILIENCE HEALTH, LLC
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 1525 HUGUENOT RD STE 201
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-2438
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Country | US
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Telephone | 804-415-4113
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Fax | 804-414-7580
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Provider Business Mailing Address
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Address Line | 1525 HUGUENOT RD STE 201
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-2438
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Country | US
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Telephone | 804-415-4113
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Fax | 804-414-7580
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Authorized Official
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Title or Position | MANAGER
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Name | MR. COLLIN BEATTY
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Credential |
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Telephone | 713-899-3331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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