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General NPI Number Information
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NPI Number | 1548933617
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Entity Type | Individual
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Provider Name | TRACI FOREE LPC
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Gender | Female
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 7027 OLD MADISON PIKE NW
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City | HUNTSVILLE
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State | AL
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Zip | 35806-2368
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Country | US
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Telephone | 256-542-1166
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Fax | 877-895-0105
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Provider Business Mailing Address
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Address Line | 145 CANTERBURY DR
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City | MADISON
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State | AL
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Zip | 35758-7934
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Country | US
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Telephone | 205-237-2376
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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 | LPC05151
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License Number State | AL
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