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General NPI Number Information
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NPI Number | 1376606806
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Entity Type | Individual
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Provider Name | MICHELLE R NAULT MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 2700 CORPORATE DR STE 200 SUITE 102
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City | BIRMINGHAM
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State | AL
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Zip | 35242-2733
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Country | US
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Telephone | 205-314-4761
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Fax | 205-314-4701
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Provider Business Mailing Address
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Address Line | 2700 CORPORATE DR STE 200 SUITE 102
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City | BIRMINGHAM
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State | AL
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Zip | 35242-2733
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Country | US
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Telephone | 205-314-4761
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Fax | 205-314-4701
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2761
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License Number State | AL
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