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General NPI Number Information
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NPI Number | 1861693582
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Entity Type | Organization
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Legal Business Name | RESOURCE ASSOCIATES
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23635 CREEK ROAD
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City | CHUGIAK
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State | AK
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Zip | 99567-2009
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Country | US
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Telephone | 907-244-9896
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Fax | 907-688-1356
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Provider Business Mailing Address
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Address Line | 23635 CREEK RD
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City | CHUGIAK
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State | AK
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Zip | 99567-2009
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Country | US
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Telephone | 907-244-9896
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Fax | 907-688-1356
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Authorized Official
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Title or Position | OWNER
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Name | MS. THERESA A. SWEDO
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Credential | LCSW
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Telephone | 907-244-9896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 31
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License Number State | AK
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