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General NPI Number Information
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NPI Number | 1538883996
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Entity Type | Individual
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Provider Name | SAVANNAH ELIZABETH SIMMONS BCABA
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Gender | Female
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 9726 OLD GREENSBORO RD
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City | TUSCALOOSA
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State | AL
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Zip | 35405-8659
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Country | US
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Telephone | 334-356-4900
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Fax | 833-294-8706
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Provider Business Mailing Address
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Address Line | 18336 PEYTON LN
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City | VANCE
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State | AL
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Zip | 35490-2582
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Country | US
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Telephone | 205-492-7049
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 2023-073
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License Number State | AL
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