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General NPI Number Information
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NPI Number | 1780548230
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Entity Type | Organization
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Legal Business Name | ACHIEVE GREATNESS ENTERPRISES LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 36 BRUMBAUGH AVE
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City | NEW LEBANON
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State | OH
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Zip | 45345-1206
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Country | US
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Telephone | 937-216-9030
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Fax | 937-716-2176
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Provider Business Mailing Address
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Address Line | 36 BRUMBAUGH AVE
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City | NEW LEBANON
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State | OH
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Zip | 45345-1206
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Country | US
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Telephone | 937-216-9030
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Fax | 937-716-2176
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Authorized Official
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Title or Position | OWNER
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Name | RANDALL MICHAEL CARMACK
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Credential | LISW, LICDC
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Telephone | 937-216-9030
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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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