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General NPI Number Information
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NPI Number | 1982868501
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Entity Type | Organization
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Legal Business Name | RESOLUTIONS COUNSELING AND MEDIATION SERVICES, PLLC
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Dates
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Enumeration Date | 07/13/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 200 VALENCIA DR STE 134
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6313
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Country | US
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Telephone | 910-219-7800
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Fax | 910-219-7799
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Provider Business Mailing Address
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Address Line | 200 VALENCIA DR STE 134
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6313
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Country | US
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Telephone | 910-219-7800
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Fax | 910-219-7799
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | MRS. TONYA Y STANLEY
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Credential | MSW, LCSW
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Telephone | 910-358-4211
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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 | C004555
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License Number State | NC
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