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General NPI Number Information
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NPI Number | 1316027956
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Entity Type | Organization
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Legal Business Name | TUSCALOOSA COUNTY MENTAL RETARDATION AUTHORITY, INC.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1002 MCFARLAND BLVD SUITE K
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City | NORTHPORT
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State | AL
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Zip | 35476-3370
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Country | US
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Telephone | 205-333-1577
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Fax | 205-333-2904
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Provider Business Mailing Address
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Address Line | 1002 MCFARLAND BLVD SUITE K
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City | NORTHPORT
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State | AL
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Zip | 35476-3370
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Country | US
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Telephone | 205-333-1577
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Fax | 205-333-2904
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | VICKI HICKS TURNAGE
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Credential |
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Telephone | 205-333-1577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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