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General NPI Number Information
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NPI Number | 1245798958
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Entity Type | Organization
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Legal Business Name | CALLOWAY CONSULTING LLC
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 504 WHATLEY ST
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City | ANDALUSIA
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State | AL
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Zip | 36420-4934
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Country | US
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Telephone | 334-399-5371
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Fax |
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Provider Business Mailing Address
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Address Line | 7920 BRIDGEWATER TRCE
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City | MONTGOMERY
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State | AL
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Zip | 36117-8210
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Country | US
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Telephone | 334-399-5371
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DARRYL L CALLOWAY
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Credential | MA, LPCS
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Telephone | 334-399-5371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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