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General NPI Number Information
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NPI Number | 1407447923
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Entity Type | Individual
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Provider Name | TEAIRA STOKES DAVIS MS,ALC, NCC
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Gender | Female
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 47 PARK RD. STE B3
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City | PLEASANT GROVE
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State | AL
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Zip | 35127
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Country | US
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Telephone | 205-761-3675
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Fax | 334-409-1062
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Provider Business Mailing Address
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Address Line | 2910 ALLISON BONNETT MEMORIAL DR. STE 106 PMB 366
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City | HUEYTOWN
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State | AL
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Zip | 35023
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Country | US
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Telephone | 205-761-3675
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Fax | 334-409-1062
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3573
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4615
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License Number State | AL
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