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General NPI Number Information
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NPI Number | 1619481124
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Entity Type | Organization
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Legal Business Name | ALABAMA COUNSELING AND ASSOCIATES LLC
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 11/20/2017
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Provider Practice Location Address
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Address Line | 4 OFFICE PARK CIR STE 204
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City | MOUNTAIN BRK
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State | AL
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Zip | 35223-2668
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Country | US
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Telephone | 205-423-0083
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Fax | 205-423-0058
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Provider Business Mailing Address
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Address Line | 4 OFFICE PARK CIR STE 204
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City | MOUNTAIN BRK
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State | AL
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Zip | 35223-2668
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Country | US
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Telephone | 205-423-0083
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Fax | 205-423-0058
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ALFRED HABEEB JR.
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Credential | M.D.
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Telephone | 205-423-0083
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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 | 693
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1977C
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD11245
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License Number State | AL
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