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General NPI Number Information
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NPI Number | 1235652744
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Entity Type | Individual
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Provider Name | JILL ANNE BATES ALC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 3521 7TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35222-3210
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Country | US
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Telephone | 205-918-8195
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Fax |
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Provider Business Mailing Address
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Address Line | 3529 7TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35222-3210
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Country | US
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Telephone | 205-918-8195
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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 | 2678
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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 | 4100
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License Number State | AL
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