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General NPI Number Information
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NPI Number | 1982652798
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Entity Type | Organization
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Legal Business Name | RESOLUTIONS HEALTH ALLIANCE, PA
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1688 EAST BAYA AVE. SUITE 102
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City | LAKE CITY
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State | FL
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Zip | 32025
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Country | US
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Telephone | 386-754-9005
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Fax | 386-754-9017
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Provider Business Mailing Address
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Address Line | 1688 EAST BAYA AVE. SUITE 102
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City | LAKE CITY
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State | FL
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Zip | 32025
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Country | US
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Telephone | 386-754-9005
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Fax | 386-754-9017
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN D EVANS JR.
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Credential | LMHC
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Telephone | 386-754-9005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH8268
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License Number State | FL
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