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General NPI Number Information
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NPI Number | 1184685166
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Entity Type | Individual
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Provider Name | JANE C DAVIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 619 19TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35249-1900
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Country | US
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Telephone | 205-934-6600
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Fax | 205-297-9411
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Provider Business Mailing Address
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Address Line | PO BOX 55310
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5310
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Country | US
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Telephone | 205-731-9701
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Fax | 205-297-9411
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0206C
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License Number State | AL
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