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General NPI Number Information
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NPI Number | 1194977140
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Entity Type | Individual
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Provider Name | BARBARA R ZANDER ADC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 101 VILLA DR
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City | DAPHNE
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State | AL
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Zip | 36526-4653
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Country | US
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Telephone | 251-625-3344
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Fax | 251-621-0790
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Provider Business Mailing Address
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Address Line | PO BOX 970
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City | MAGNOLIA SPRINGS
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State | AL
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Zip | 36555-0970
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Country | US
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Telephone | 251-625-3344
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Fax | 251-621-0790
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1134
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License Number State | AL
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