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General NPI Number Information
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NPI Number | 1710035258
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Entity Type | Organization
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Legal Business Name | ADDICTION & MENTAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 10/16/2017
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Provider Practice Location Address
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Address Line | 703 MEDICAL CENTER PKWY
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City | BOAZ
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State | AL
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Zip | 35957-5938
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Country | US
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Telephone | 256-593-9152
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Fax | 256-840-1559
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Provider Business Mailing Address
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Address Line | PO BOX 830585
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City | BIRMINGHAM
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State | AL
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Zip | 35283-0585
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Country | US
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Telephone | 205-251-7753
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Fax | 205-251-7760
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. BERNARD B STEPHENS
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Credential |
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Telephone | 205-251-7753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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