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General NPI Number Information
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NPI Number | 1023869344
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Entity Type | Individual
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Provider Name | CAITLIN ALDERMAN ALC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 2208 EXECUTIVE PARK DR
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City | OPELIKA
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State | AL
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Zip | 36801-6062
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Country | US
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Telephone | 334-690-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 128 DENALI LN
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City | AUBURN
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State | AL
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Zip | 36832-5125
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Country | US
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Telephone | 910-520-7681
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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 | ALC04467
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License Number State | AL
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