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General NPI Number Information
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NPI Number | 1235397985
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Entity Type | Organization
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Legal Business Name | COMPLETE FAMILY PASTORAL COUNSELING, INC
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 2700 PELHAM PKWY
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City | PELHAM
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State | AL
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Zip | 35124-1705
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Country | US
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Telephone | 205-685-0373
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Fax | 295-685-0393
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Provider Business Mailing Address
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Address Line | PO BOX 959
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City | PELHAM
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State | AL
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Zip | 35124-0959
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Country | US
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Telephone | 205-685-0373
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Fax | 205-685-0393
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL A. MCKEEVERE III
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Credential | PH.D.
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Telephone | 205-685-0373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 386 LPC
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License Number State | AL
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