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General NPI Number Information
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NPI Number | 1003070939
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Entity Type | Organization
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Legal Business Name | AMERICAN BEHAVIORAL
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 550 MONTGOMERY HWY SUITE 101
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City | BIRMINGHAM
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State | AL
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Zip | 35216-1844
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Country | US
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Telephone | 205-871-7814
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Fax |
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Provider Business Mailing Address
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Address Line | 550 MONTGOMERY HWY SUITE 101
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City | BIRMINGHAM
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State | AL
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Zip | 35216-1844
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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 | EAP COUNSELOR
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Name | ASHLEY H HALSEY
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Credential | MA ALC
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Telephone | 205-908-1350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | C994A
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License Number State | AL
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