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General NPI Number Information
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NPI Number | 1417132598
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Entity Type | Individual
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Provider Name | ANGELA NELMS-GRIFFIN LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 703 E GLENN AVE
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City | AUBURN
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State | AL
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Zip | 36830
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Country | US
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Telephone | 334-319-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 OPELIKA RD STE 6
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City | AUBURN
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State | AL
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Zip | 36830-3356
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Country | US
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Telephone | 334-319-3524
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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 | MFT000951
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | L435
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License Number State | AL
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