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General NPI Number Information
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NPI Number | 1396374195
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Entity Type | Organization
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Legal Business Name | ALABAMA DEPARTMENT OF MENTAL HEALTH
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 401 LEE ST NE STE 150
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City | DECATUR
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State | AL
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Zip | 35601-1902
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Country | US
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Telephone | 205-478-3402
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Fax |
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Provider Business Mailing Address
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Address Line | 401 LEE ST NE STE 150
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City | DECATUR
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State | AL
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Zip | 35601-1902
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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 | DIRECTOR
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Name | ANNA MCCONNELL
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Credential |
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Telephone | 205-478-3402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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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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