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General NPI Number Information
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NPI Number | 1679645832
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Entity Type | Organization
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Legal Business Name | RESOLUTIONS REHABILITATION AGENCY, LLC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7339 LANDOVER RD
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City | LANDOVER
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State | MD
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Zip | 20785-1802
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Country | US
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Telephone | 301-772-6817
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Fax | 301-772-6818
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Provider Business Mailing Address
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Address Line | 7339 LANDOVER RD
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City | LANDOVER
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State | MD
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Zip | 20785-1802
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Country | US
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Telephone | 301-772-6817
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Fax | 301-772-6818
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | LENUS JAMES LEDET
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Credential | JSD
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Telephone | 301-772-6817
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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 | MD
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