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General NPI Number Information
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NPI Number | 1134038839
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Entity Type | Organization
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Legal Business Name | THE BROAD PLACE COUNSELING
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 1108 WILDOAK DR
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City | ANNISTON
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State | AL
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Zip | 36206-1354
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Country | US
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Telephone | 256-365-7131
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4023
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City | ANNISTON
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State | AL
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Zip | 36204-4023
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Country | US
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Telephone | 256-365-7131
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROD CAMPBELL
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Credential |
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Telephone | 256-365-7131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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