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General NPI Number Information
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NPI Number | 1720539372
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Entity Type | Organization
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Legal Business Name | CARING CONFIDENTIAL COUNSELING
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 3480 BROAD ST
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City | PHIL CAMPBELL
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State | AL
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Zip | 35581-3600
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Country | US
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Telephone | 205-993-4556
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Fax | 205-993-4556
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Provider Business Mailing Address
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Address Line | 3480 BROAD ST
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City | PHIL CAMPBELL
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State | AL
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Zip | 35581-3600
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Country | US
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Telephone | 205-993-4556
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Fax | 205-993-4556
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BRUCE FORMAN
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Credential |
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Telephone | 205-993-4556
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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 | 3397
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License Number State | AL
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