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General NPI Number Information
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NPI Number | 1740174218
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Entity Type | Individual
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Provider Name | GRACE TREUTEL MFTA
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Gender | Female
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 1211 27TH PL S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1806
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Country | US
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Telephone | 251-472-7555
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Fax |
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Provider Business Mailing Address
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Address Line | 3205 TERESA DR
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City | BIRMINGHAM
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State | AL
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Zip | 35217-1043
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Country | US
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Telephone | 251-472-7555
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | A123
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License Number State | AL
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