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General NPI Number Information
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NPI Number | 1528398161
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Entity Type | Organization
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Legal Business Name | ATONEMENT INC
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Dates
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Enumeration Date | 01/04/2010
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 3570 11TH ST NE
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City | TUSCALOOSA
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State | AL
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Zip | 35404-1906
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Country | US
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Telephone | 205-393-5832
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Fax |
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Provider Business Mailing Address
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Address Line | 22640 HERITAGE DR
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City | MC CALLA
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State | AL
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Zip | 35111-2652
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Country | US
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Telephone | 205-393-5832
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. TAMMY LASHELL HIGH
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Credential | MSW
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Telephone | 205-393-5832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 138985
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License Number State | AL
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