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General NPI Number Information
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NPI Number | 1063574846
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Entity Type | Organization
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Legal Business Name | MICHELE KING, PH.D., P.C.
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 703 E GLENN AVE
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City | AUBURN
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State | AL
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Zip | 36830-5016
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Country | US
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Telephone | 334-821-1822
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Fax | 334-821-1822
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Provider Business Mailing Address
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Address Line | 703 EAST GLENN AVENUE
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City | AUBURN
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State | AL
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Zip | 36830-5016
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Country | US
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Telephone | 334-821-1822
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Fax | 334-821-1822
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHELE MARIE KING
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Credential | PH.D.
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Telephone | 334-821-1822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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