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General NPI Number Information
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NPI Number | 1043031313
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE THERAPY, LLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1508 E THREE NOTCH ST STE B
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City | ANDALUSIA
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State | AL
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Zip | 36420-3408
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Country | US
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Telephone | 334-488-6729
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Fax |
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Provider Business Mailing Address
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Address Line | 28701 NALLS RD
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City | ANDALUSIA
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State | AL
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Zip | 36421-6159
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Country | US
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Telephone | 334-343-5365
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Fax |
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Authorized Official
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Title or Position | MEMBER OF LLC
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Name | LINDSEY CRUTCHFIELD
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Credential | MS, CCC/SLP
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Telephone | 334-343-5365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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