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NPI 1114138823

NPI 1114138823 : JAMES EDGER FALKNER LPC : VESTAVIA HILLS, AL

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General NPI Number Information
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    NPI Number           |    1114138823
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES EDGER FALKNER LPC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/24/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2028 KENTUCKY AV STE 101
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    City                 |    VESTAVIA HILLS
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    State                |    AL
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    Zip                  |    35216
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    Country              |    US
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    Telephone            |    205-823-4995
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    Fax                  |    205-408-4274
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Provider Business Mailing Address
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    Address Line         |    804 HEATHERWOOD CIR 
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    City                 |    BHAM
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    State                |    AL
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    Zip                  |    35244-2279
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    Country              |    US
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    Telephone            |    205-991-8134
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    Fax                  |    205-408-4274
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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       |    LPC 1177
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    NCC 34447
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    License Number State |    AL
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