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General NPI Number Information
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NPI Number | 1023544178
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Entity Type | Individual
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Provider Name | ANGELA SEWELL MS, ALC
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 124 N 5TH ST
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City | GADSDEN
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State | AL
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Zip | 35901-3708
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Country | US
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Telephone | 256-458-8819
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Fax |
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Provider Business Mailing Address
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Address Line | 1649 HOOD RD
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City | SOUTHSIDE
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State | AL
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Zip | 35907-5014
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Country | US
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Telephone | 256-458-8819
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | C2832A
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License Number State | AL
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