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General NPI Number Information
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NPI Number | 1598650533
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Entity Type | Individual
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Provider Name | HEATHER DAVIDSON
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Gender | Female
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1109 E PARK DR
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City | BIRMINGHAM
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State | AL
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Zip | 35235-2578
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Country | US
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Telephone | 205-207-5688
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Fax |
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Provider Business Mailing Address
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Address Line | 175 EVELYN ST
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City | TRUSSVILLE
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State | AL
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Zip | 35173-4020
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Country | US
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Telephone | 423-883-1291
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ALC05232
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License Number State | AL
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