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General NPI Number Information
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NPI Number | 1609887074
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Entity Type | Individual
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Provider Name | DONNA K KING MS
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 06/04/2010
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Provider Practice Location Address
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Address Line | 22165 US HIGHWAY 431
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-8994
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Country | US
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Telephone | 256-582-4465
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Fax | 256-582-5339
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Provider Business Mailing Address
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Address Line | 3425 ROCK HILL RD
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-6289
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Country | US
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Telephone | 256-582-8482
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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