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General NPI Number Information
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NPI Number | 1023610094
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Entity Type | Organization
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Legal Business Name | CAMILLE'S COUNSOLATIONS LLC
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 212 E 28TH ST
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City | ANNISTON
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State | AL
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Zip | 36201-2930
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Country | US
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Telephone | 205-835-3029
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Fax | 334-373-3435
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Provider Business Mailing Address
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Address Line | 37 DAVIS DR
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City | MONTGOMERY
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State | AL
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Zip | 36105-2909
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Country | US
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Telephone | 205-835-3029
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Fax | 334-373-3435
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. RASHADA CAMILLE SMITH
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Credential | ALC
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Telephone | 205-835-3029
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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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