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General NPI Number Information
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NPI Number | 1356368187
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Entity Type | Individual
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Provider Name | GAYLE S. JANZEN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2 RIVERCHASE OFFICE PLZ SUITE 115
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City | HOOVER
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State | AL
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Zip | 35244-2890
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Country | US
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Telephone | 205-403-0955
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Fax | 205-403-0956
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Provider Business Mailing Address
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Address Line | 2 RIVERCHASE OFFICE PLZ SUITE 115
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City | HOOVER
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State | AL
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Zip | 35244-2890
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Country | US
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Telephone | 205-403-0955
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Fax | 205-403-0956
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 350
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License Number State | AL
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