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General NPI Number Information
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NPI Number | 1124388905
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Entity Type | Organization
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Legal Business Name | IN-SIGHT COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/25/2012
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 380 PHILLIPS RD
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City | COTTONWOOD
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State | AL
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Zip | 36320-4298
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Country | US
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Telephone | 334-691-5061
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Fax | 334-699-8748
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Provider Business Mailing Address
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Address Line | 380 PHILLIPS RD
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City | COTTONWOOD
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State | AL
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Zip | 36320-4298
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Country | US
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Telephone | 334-691-5061
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Fax | 334-699-8748
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Authorized Official
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Title or Position | CEO
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Name | PATRICK D. PARKER
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Credential | MS
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Telephone | 334-691-5061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MD.24899
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License Number State | AL
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