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General NPI Number Information
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NPI Number | 1437659265
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Entity Type | Organization
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Legal Business Name | A CALLING CONSULTING AND WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 02/19/2018
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Provider Practice Location Address
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Address Line | 300 18TH ST WEST SUITE 101
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City | JASPER
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State | AL
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Zip | 35501
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Country | US
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Telephone | 205-471-7509
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Fax | 205-384-6397
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Provider Business Mailing Address
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Address Line | 1200 6TH AVE S
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City | JASPER
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State | AL
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Zip | 35501-4606
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Country | US
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Telephone | 205-515-3591
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Fax | 205-384-6397
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHARLES CHRISTOPHER TAYLOR
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Credential | PC
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Telephone | 205-471-7509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2122B
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3161
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License Number State | AL
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