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General NPI Number Information
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NPI Number | 1700542180
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Entity Type | Organization
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Legal Business Name | RESOLUTION ADVOCATES, LLC
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 145 IKO WAY STE 101
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City | HAGERSTOWN
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State | MD
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Zip | 21740-8133
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Country | US
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Telephone | 240-520-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 817 VIEW ST
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City | HAGERSTOWN
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State | MD
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Zip | 21742-3960
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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 | CO-OWNER, CLINICIAN
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Name | JAMIE NOEL MATHEWSON
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Credential | LCSW-C
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Telephone | 240-520-2237
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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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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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