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General NPI Number Information
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NPI Number | 1285809194
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH BOARD OF BIBB PICKENS AND TUSCALOOSA COUNTIES
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1915 6TH ST
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City | TUSCALOOSA
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State | AL
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Zip | 35401-1722
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Country | US
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Telephone | 205-562-3700
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Fax | 205-562-3769
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Provider Business Mailing Address
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Address Line | PO BOX 2190
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City | TUSCALOOSA
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State | AL
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Zip | 35403-2190
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Country | US
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Telephone | 205-562-3700
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Fax | 205-562-3769
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JAMES MOORE
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Credential |
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Telephone | 205-562-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | AL
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