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General NPI Number Information
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NPI Number | 1235830233
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Entity Type | Organization
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Legal Business Name | REASONTHINK
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 120 19TH ST N STE 282
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City | BIRMINGHAM
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State | AL
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Zip | 35203-3230
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Country | US
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Telephone | 205-746-0211
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Fax | 877-322-1911
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Provider Business Mailing Address
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Address Line | 120 19TH ST N STE 282
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City | BIRMINGHAM
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State | AL
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Zip | 35203-3230
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Country | US
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Telephone | 205-746-0211
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | MRS. JENIFER BROUGHAM
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Credential | LICSW
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Telephone | 205-746-0211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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