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General NPI Number Information
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NPI Number | 1487384590
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Entity Type | Organization
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Legal Business Name | I AM HEALINGONE, LLC
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 322 CRAWFORD ST
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City | FAIRFIELD
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State | AL
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Zip | 35064-1305
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Country | US
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Telephone | 888-568-7353
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3114
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City | HUEYTOWN
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State | AL
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Zip | 35023-0114
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Country | US
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Telephone | 888-568-7353
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JASMINE MURRY
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Credential |
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Telephone | 888-568-7353
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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