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General NPI Number Information
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NPI Number | 1043798689
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Entity Type | Organization
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Legal Business Name | LEE NOWLIN, LICSW, LLC
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 6925 COTTAGE HILL RD STE E
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City | MOBILE
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State | AL
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Zip | 36695-3715
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Country | US
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Telephone | 251-599-1836
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Fax | 251-800-7245
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Provider Business Mailing Address
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Address Line | 1501 GAYLORD DR
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City | MOBILE
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State | AL
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Zip | 36695-8943
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Country | US
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Telephone | 251-599-1836
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Fax | 251-800-7245
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | PATRICIA LEE NOWLIN
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Credential | LICSW
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Telephone | 125-159-9183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 0904C
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License Number State | AL
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