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General NPI Number Information
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NPI Number | 1477641355
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Entity Type | Individual
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Provider Name | DAVID ALLEN SEDLACEK PH.D.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7000 ADVENTIST BLVD NW GREEN HALL ROOM 205
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City | HUNTSVILLE
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State | AL
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Zip | 35896-0001
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Country | US
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Telephone | 256-726-7607
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Fax | 256-726-7527
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Provider Business Mailing Address
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Address Line | 302 BOB G HUGHES BLVD
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City | HARVEST
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State | AL
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Zip | 35749-4861
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Country | US
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Telephone | 256-830-5448
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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 | 1870C
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License Number State | AL
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