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General NPI Number Information
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NPI Number | 1306019831
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Entity Type | Organization
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Legal Business Name | SPRINGHILL BEHAVIORAL HEALTH INC.
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 100 MEMORIAL HOSPITAL DR 1-B
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City | MOBILE
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State | AL
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Zip | 36608-1183
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Country | US
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Telephone | 251-340-7757
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Fax | 251-345-1506
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Provider Business Mailing Address
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Address Line | 100 MEMORIAL HOSPITAL DR 1-B
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City | MOBILE
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State | AL
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Zip | 36608-1183
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Country | US
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Telephone | 251-340-7757
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Fax | 251-345-1506
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD JAMES MULKERNE JR.
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Credential | PH.D.
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Telephone | 251-340-7757
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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 | 377
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License Number State | AL
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