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General NPI Number Information
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NPI Number | 1780859314
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH CENTER OF NORTH CENTRAL ALABAMA
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 4110 HIGHWAY 31 SOUTH
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City | DECATUR
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State | AL
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Zip | 35601-4309
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Country | US
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Telephone | 256-355-6105
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 SOMERVILLE RD SE SUITE 1
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City | DECATUR
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State | AL
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Zip | 35601-4305
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Country | US
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Telephone | 256-355-6105
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. RUTH MARIE HOOD
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Credential | LCSW
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Telephone | 256-260-7324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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