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General NPI Number Information
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NPI Number | 1285155309
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Entity Type | Individual
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Provider Name | JILLIAN LEE LITTLEFIELD ALC, NCC
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Gender | Female
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 06/28/2017
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Provider Practice Location Address
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Address Line | 2127 14TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-3900
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Country | US
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Telephone | 205-575-8216
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Fax | 205-881-3072
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Provider Business Mailing Address
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Address Line | 3318 PEMBROOKE LN
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City | HOOVER
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State | AL
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Zip | 35226-2202
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Country | US
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Telephone | 205-999-0879
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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 | C2884A
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License Number State | AL
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