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General NPI Number Information
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NPI Number | 1497571673
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Entity Type | Individual
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Provider Name | ZACHARY LEE ANDREWS LPC
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Gender | Male
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1000 PROVIDENCE PARK STE 150
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City | BIRMINGHAM
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State | AL
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Zip | 35242-7704
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Country | US
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Telephone | 205-913-9893
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Fax |
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Provider Business Mailing Address
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Address Line | 127 WATERSTONE WAY
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City | MONTEVALLO
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State | AL
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Zip | 35115-5709
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC05465
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License Number State | AL
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