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General NPI Number Information
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NPI Number | 1275951667
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Entity Type | Organization
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Legal Business Name | ANNABELLE CRF
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 2201 48TH ST E UNIT 201
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City | TUSCALOOSA
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State | AL
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Zip | 35405-4359
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Country | US
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Telephone | 205-886-5511
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Fax | 205-737-7209
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Provider Business Mailing Address
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Address Line | 3934 DEARING DOWNS DR
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City | TUSCALOOSA
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State | AL
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Zip | 35405-4649
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Country | US
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Telephone | 205-886-5511
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Fax | 205-737-7209
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Authorized Official
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Title or Position | DIRECTOR
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Name | RACHEL ANN WILLIAMS
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Credential | RN
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Telephone | 205-886-5511
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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 |
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License Number State |
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