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General NPI Number Information
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NPI Number | 1396449245
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Entity Type | Individual
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Provider Name | ELIZABETH MITCHELL LPC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 7475 HALCYON POINTE DR
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City | MONTGOMERY
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State | AL
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Zip | 36117-8053
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Country | US
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Telephone | 334-954-6010
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Fax |
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Provider Business Mailing Address
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Address Line | 281 COUNTY ROAD 3314
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City | TROY
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State | AL
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Zip | 36079-3226
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC04804
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License Number State | AL
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