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General NPI Number Information
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NPI Number | 1699867960
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Entity Type | Organization
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Legal Business Name | ALABAMA CHILD & ADOLESCENT
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 661 HELEN KELLER BLVD STE B
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City | TUSCALOOSA
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State | AL
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Zip | 35404
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Country | US
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Telephone | 205-554-0866
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Fax | 205-554-0279
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Provider Business Mailing Address
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Address Line | 661 HELEN KELLER BLVD STE B
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City | TUSCALOOSA
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State | AL
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Zip | 35404
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Country | US
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Telephone | 205-554-0866
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Fax | 205-554-0279
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Authorized Official
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Title or Position | DIRECTOR
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Name | SANJAY K SINGH
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Credential | MD
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Telephone | 205-554-0866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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