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General NPI Number Information
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NPI Number | 1366090789
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Entity Type | Individual
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Provider Name | EMILY M SIMPSON-KEENUM LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 2910 7TH ST
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City | TUSCALOOSA
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State | AL
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Zip | 35401-1810
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Country | US
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Telephone | 205-210-8099
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Fax |
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Provider Business Mailing Address
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Address Line | 9090 COTTON FIELD CIR
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City | TUSCALOOSA
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State | AL
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Zip | 35405-9643
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Country | US
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Telephone |
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | L602
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License Number State | AL
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