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General NPI Number Information
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NPI Number | 1639726599
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Entity Type | Individual
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Provider Name | TARA KING LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 722 MEMORIAL DR
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City | BESSEMER
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State | AL
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Zip | 35022-6099
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Country | US
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Telephone | 205-224-5400
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Fax | 205-428-8406
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Provider Business Mailing Address
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Address Line | 2501 VETERANS MEMORIAL PKWY APT 1013
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City | TUSCALOOSA
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State | AL
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Zip | 35404-4100
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Country | US
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Telephone | 205-310-3757
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 3544G
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License Number State | AL
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