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General NPI Number Information
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NPI Number | 1467231910
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Entity Type | Individual
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Provider Name | KATAMIE CLEVELAND LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 150 S PERRY ST
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City | MONTGOMERY
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State | AL
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Zip | 36104-4227
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Country | US
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Telephone | 248-528-2116
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Fax | 502-996-8282
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Provider Business Mailing Address
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Address Line | 1722 SOUTHCREST TRL
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City | HOOVER
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State | AL
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Zip | 35244-5122
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Country | US
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Telephone | 703-785-3324
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2492C
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License Number State | AL
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