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General NPI Number Information
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NPI Number | 1316113541
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Entity Type | Organization
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Legal Business Name | BALDWIN COUNTY MENTAL HEALTH CENTER, INC. - ALLKIDS PLUS
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 372 S GREENO RD
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City | FAIRHOPE
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State | AL
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Zip | 36532-1916
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Country | US
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Telephone | 251-928-2871
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Fax |
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Provider Business Mailing Address
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Address Line | 372 S GREENO RD
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City | FAIRHOPE
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State | AL
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Zip | 36532-1916
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Country | US
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Telephone | 251-928-2871
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF TECHNICAL SERVICES
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Name | SIDNEY VINCENT ARBOUR III
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Credential |
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Telephone | 251-990-4203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State | AL
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