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General NPI Number Information
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NPI Number | 1538078159
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Entity Type | Individual
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Provider Name | MALLORY REDMOND MED, NCC, ALC
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Gender | Female
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 208 MEDICAL CENTER DR
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City | PRATTVILLE
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State | AL
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Zip | 36066-7288
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Country | US
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Telephone | 205-624-2422
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Fax |
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Provider Business Mailing Address
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Address Line | 528 MT AIRY DR
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City | PRATTVILLE
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State | AL
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Zip | 36067-2146
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Country | US
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Telephone | 334-540-0803
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | ALC05997
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License Number State | AL
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