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General NPI Number Information
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NPI Number | 1225920986
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Entity Type | Individual
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Provider Name | MAREA TRONCALE ENNIS LPC
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Gender |
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 300 CENTURY PARK S STE 201
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City | BIRMINGHAM
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State | AL
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Zip | 35226-3924
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Country | US
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Telephone | 205-266-1601
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Fax |
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Provider Business Mailing Address
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Address Line | 2308 FARLEY PL
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City | HOOVER
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State | AL
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Zip | 35226-1416
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Country | US
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Telephone | 205-835-8432
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC03053
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License Number State | AL
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