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General NPI Number Information
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NPI Number | 1760999262
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Entity Type | Organization
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Legal Business Name | RGN COUNSELING LLC
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 6151 WILSON MILLS RD STE 305
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City | HIGHLAND HEIGHTS
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State | OH
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Zip | 44143-2128
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Country | US
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Telephone | 440-482-6573
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Fax | 440-482-6574
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Provider Business Mailing Address
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Address Line | 6151 WILSON MILLS RD STE 305
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City | HIGHLAND HEIGHTS
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State | OH
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Zip | 44143-2128
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Country | US
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Telephone | 440-482-6573
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Fax | 440-482-6574
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Authorized Official
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Title or Position | TAX ID OWNER
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Name | RANDI G NATHENSON
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Credential | LISW
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Telephone | 440-482-6573
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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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