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General NPI Number Information
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NPI Number | 1497406136
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Entity Type | Organization
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Legal Business Name | ALABAMA HOLISTIC HEALTH, LLC
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 204 LOWE AVE SE STE 5
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4252
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Country | US
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Telephone | 256-801-9162
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Fax | 256-715-9528
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Provider Business Mailing Address
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Address Line | 204 LOWE AVE SE STE 5
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4252
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Country | US
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Telephone | 256-801-9162
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Fax | 256-715-9528
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Authorized Official
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Title or Position | PRIMARY PRACTITIONER
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Name | DR. CHRISTINA LYNN BERRY
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Credential | LAC
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Telephone | 256-801-9162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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