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General NPI Number Information
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NPI Number | 1104200344
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Entity Type | Organization
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Legal Business Name | INSIGHT THERAPY, LLC
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 166 OFFICE PARK DR., ST. 245
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City | BIRMINGHAM
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State | AL
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Zip | 35223
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Country | US
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Telephone | 205-213-4199
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Fax |
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Provider Business Mailing Address
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Address Line | 300 OFFICE PARK DR
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City | MOUNTAIN BRK
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State | AL
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Zip | 35223-2474
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Country | US
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Telephone | 205-213-4199
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICAL PSYCHOLOGIST
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Name | DR. ZANAIDA RUTH GRIFFIN
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Credential | PH.D.
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Telephone | 205-213-4199
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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 | 966
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License Number State | AL
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