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General NPI Number Information
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NPI Number | 1982084802
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Entity Type | Organization
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Legal Business Name | RHEMA LIFE GROUP LLC
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Dates
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Enumeration Date | 06/05/2015
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Last Update Date | 06/05/2015
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Provider Practice Location Address
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Address Line | 2670 CRAIN HWY SUITE 206
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City | WALDORF
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State | MD
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Zip | 20601-2806
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Country | US
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Telephone | 301-534-0748
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Fax | 301-705-8892
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Provider Business Mailing Address
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Address Line | 2670 CRAIN HWY SUITE 206
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City | WALDORF
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State | MD
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Zip | 20601-2806
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Country | US
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Telephone | 301-534-0748
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Fax | 301-705-8892
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Authorized Official
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Title or Position | CEO
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Name | MR. ORLIE REID JR.
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Credential | LICSW, LCSW-C
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Telephone | 301-534-0748
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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 | 12188
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License Number State | MD
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