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General NPI Number Information
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NPI Number | 1427843655
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Entity Type | Individual
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Provider Name | LAYCE D JEMISON MD
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Gender | Female
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 1189 ALLBRITTON RD
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City | WARRIOR
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State | AL
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Zip | 35180-2663
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Country | US
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Telephone | 659-266-7587
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Fax |
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Provider Business Mailing Address
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Address Line | 3372 WOOD DRIVE CIR NE
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City | BIRMINGHAM
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State | AL
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Zip | 35215-1517
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Country | US
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Telephone | 205-960-9920
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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 | ALC05162
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License Number State | AL
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