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General NPI Number Information
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NPI Number | 1154278455
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Entity Type | Organization
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Legal Business Name | SECURESIGN&SCREENING,LLC
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Dates
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Enumeration Date | 03/14/2026
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Last Update Date | 03/14/2026
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Provider Practice Location Address
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Address Line | 105 VULCAN RD STE 228
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City | BIRMINGHAM
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State | AL
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Zip | 35209-4761
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Country | US
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Telephone | 205-830-0789
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Fax |
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Provider Business Mailing Address
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Address Line | 105 VULCAN RD STE 228
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City | BIRMINGHAM
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State | AL
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Zip | 35209-4761
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Country | US
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Telephone | 205-830-0789
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHOVONDA COLLIE
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Credential | DOT/NON DOT CERTIFIE
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Telephone | 205-830-0789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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