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General NPI Number Information
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NPI Number | 1518055656
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Entity Type | Organization
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Legal Business Name | PDSS, INC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1910 NOBLE ST
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City | ANNISTON
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State | AL
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Zip | 36201-3214
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Country | US
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Telephone | 256-238-0451
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Fax | 256-238-0446
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Provider Business Mailing Address
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Address Line | 1910 NOBLE ST
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City | ANNISTON
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State | AL
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Zip | 36201-3214
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Country | US
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Telephone | 256-238-0451
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Fax | 256-238-0446
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. ROSETTA SHARP DEAN
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Credential | ED.D.
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Telephone | 256-238-0451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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