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General NPI Number Information
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NPI Number | 1801252432
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Entity Type | Organization
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Legal Business Name | REGIONAL EMPLOYEE ASSISTANCE PROGRAM
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 510 E RIO GRANDE ST
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City | VICTORIA
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State | TX
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Zip | 77901-6033
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Country | US
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Telephone | 361-570-1082
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Fax | 361-570-1091
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Provider Business Mailing Address
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Address Line | PO BOX 689022
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City | FRANKLIN
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State | TN
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Zip | 37068-9022
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Country | US
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Telephone | 615-465-7042
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Fax | 615-628-6877
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Authorized Official
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Title or Position | SENIOR DIRECTOR
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Name | JENNIFER L JACKSON
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Credential |
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Telephone | 615-465-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AP129869
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License Number State | TX
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