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General NPI Number Information
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NPI Number | 1699858159
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Entity Type | Organization
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Legal Business Name | NORTHWEST ALABAMA MENTAL HEALTH CENTER
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 42104 HIGHWAY 195
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City | HALEYVILLE
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State | AL
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Zip | 35565-7053
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Country | US
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Telephone | 205-485-7569
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Fax | 205-486-8981
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Provider Business Mailing Address
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Address Line | 75 CARRAWAY DRIVE
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City | HALEYVILLE
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State | AL
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Zip | 35565
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Country | US
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Telephone | 205-486-7569
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Fax | 205-486-8981
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. FLOYD FULTON NEWMAN
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Credential | MSW
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Telephone | 205-302-9065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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