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General NPI Number Information
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NPI Number | 1699351247
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Entity Type | Individual
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Provider Name | RASHADA CAMILLE SMITH
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Gender | Female
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 1400 COMMERCE BLVD
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City | ANNISTON
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State | AL
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Zip | 36207-9451
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Country | US
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Telephone | 256-365-8686
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Fax | 919-590-1895
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Provider Business Mailing Address
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Address Line | 212 E 28TH ST
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City | ANNISTON
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State | AL
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Zip | 36201-2930
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Country | US
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Telephone | 205-835-3029
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Fax | 919-590-1895
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4361
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License Number State | AL
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