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General NPI Number Information
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NPI Number | 1720721335
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Entity Type | Organization
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Legal Business Name | THE ALTERNATIVE PROGRAM
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 219 N ORANGE AVE
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City | EUFAULA
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State | AL
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Zip | 36027-1621
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Country | US
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Telephone | 334-591-0143
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Fax |
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Provider Business Mailing Address
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Address Line | 219 N ORANGE AVE
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City | EUFAULA
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State | AL
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Zip | 36027-1621
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Country | US
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Telephone | 334-591-0148
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JAMES GRIFFIN
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Credential |
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Telephone | 334-695-1297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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