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General NPI Number Information
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NPI Number | 1194339267
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Entity Type | Individual
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Provider Name | ELIZABETH SARA DUNGAN HADGRAFT LMFT, LPC
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Gender | Female
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 2917 CENTRAL AVE STE 305
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City | BIRMINGHAM
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State | AL
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Zip | 35209-2576
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Country | US
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Telephone | 205-538-3978
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Fax |
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Provider Business Mailing Address
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Address Line | 1736 OXMOOR RD STE 208
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City | BIRMINGHAM
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State | AL
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Zip | 35209-4053
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Country | US
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Telephone | 205-538-3978
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | L480
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4266
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License Number State | AL
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