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General NPI Number Information
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NPI Number | 1861838609
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Entity Type | Organization
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Legal Business Name | THE REGROUP, PLLC
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 103 N MAIN ST
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City | SEARCY
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State | AR
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Zip | 72143-5421
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Country | US
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Telephone | 501-593-3294
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Fax |
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Provider Business Mailing Address
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Address Line | 103 N MAIN ST
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City | SEARCY
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State | AR
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Zip | 72143-5421
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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 | PARTNER
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Name | SAMUEL BUTTERFIELD
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Credential |
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Telephone | 501-593-3294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | P1109081
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P1109081
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License Number State | AR
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