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General NPI Number Information
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NPI Number | 1760492847
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Entity Type | Individual
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Provider Name | DONICA CREASY LPC
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2700 ROGERS DR STE 209
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City | BIRMINGHAM
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State | AL
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Zip | 35209
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Country | US
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Telephone | 205-870-3520
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Fax | 205-870-3522
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Provider Business Mailing Address
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Address Line | 2204 LAKESHORE DR STE 220
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City | BIRMINGHAM
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State | AL
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Zip | 35209
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Country | US
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Telephone | 205-874-8300
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Fax | 205-874-8333
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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 | L89
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License Number State | AL
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