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General NPI Number Information
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NPI Number | 1003270430
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Entity Type | Organization
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Legal Business Name | ALETHEIA HOUSE, INC.
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 02/23/2017
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Provider Practice Location Address
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Address Line | 2201 ARLINGTON AVE
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City | BESSEMER
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State | AL
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Zip | 35020-4221
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Country | US
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Telephone | 205-324-6502
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1514
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City | BIRMINGHAM
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State | AL
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Zip | 35201-1514
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Country | US
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Telephone | 205-324-6502
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. CHRISTOPHER W RETAN
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Credential |
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Telephone | 205-324-6502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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