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NPI 1144796129

NPI 1144796129 : FAMILY ASSOCIATED CHARITY OF ALABAMA : BESSEMER, AL

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General NPI Number Information
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    NPI Number           |    1144796129
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILY ASSOCIATED CHARITY OF ALABAMA 
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Dates
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    Enumeration Date     |    10/17/2018
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    Last Update Date     |    10/17/2018
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Provider Practice Location Address
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    Address Line         |    1600 4TH AVE N 
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    City                 |    BESSEMER
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    State                |    AL
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    Zip                  |    35020-5711
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    Country              |    US
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    Telephone            |    205-223-8134
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    Fax                  |    205-957-6601
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1841 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35201-1841
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    Country              |    US
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    Telephone            |    205-223-8134
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    Fax                  |    205-957-6601
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Authorized Official
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    Title or Position    |    DIRECTOR OF SOCIAL SERVICES
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    Name                 |    MS. ASHLEY P PLEASANT 
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    Credential           |    LICSW
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    Telephone            |    205-223-8134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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