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General NPI Number Information
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NPI Number | 1538642400
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Entity Type | Individual
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Provider Name | DAILEY ANN CHAMPION LPC
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Gender | Female
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 7992 HAPPY HOLLOW RD
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City | TRUSSVILLE
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State | AL
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Zip | 35173-2673
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Country | US
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Telephone | 205-907-5044
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Fax | 919-799-7713
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Provider Business Mailing Address
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Address Line | 7992 HAPPY HOLLOW RD
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City | TRUSSVILLE
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State | AL
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Zip | 35173-2673
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Country | US
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Telephone | 205-907-5044
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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 | LPC05430
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License Number State | AL
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