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General NPI Number Information
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NPI Number | 1285331207
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Entity Type | Individual
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Provider Name | ZACKERY MCCLAIN LMSW
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Gender | Male
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 400 CENTURY PARK S STE 106
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City | BIRMINGHAM
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State | AL
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Zip | 35226-3925
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Country | US
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Telephone | 251-272-5736
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 RIVER HAVEN LN
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City | HOOVER
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State | AL
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Zip | 35244-1257
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Country | US
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Telephone | 251-635-8012
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6067G
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 29501
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License Number State | MD
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