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General NPI Number Information
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NPI Number | 1518439074
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Entity Type | Organization
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Legal Business Name | BLU SKYS PROFESSIONAL DEVELOPMENT CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 12/21/2018
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Last Update Date | 12/21/2018
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Provider Practice Location Address
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Address Line | 1419 LEIGHTON AVE STE F
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City | ANNISTON
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State | AL
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Zip | 36207-3801
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Country | US
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Telephone | 256-283-4825
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Fax | 800-287-9715
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Provider Business Mailing Address
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Address Line | 33 EDGEFIELD WAY
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City | ANNISTON
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State | AL
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Zip | 36207-1042
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Country | US
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Telephone | 256-283-4825
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Fax | 800-287-9715
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Authorized Official
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Title or Position | CEO
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Name | VALERIE A RICHARDSON
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Credential | LPC
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Telephone | 256-283-4825
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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 |
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License Number State |
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