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General NPI Number Information
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NPI Number | 1811508542
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Entity Type | Individual
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Provider Name | JOCELYN FOWLER PHD, LMFTA, MEDFT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 08/15/2020
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Provider Practice Location Address
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Address Line | 4880 HARKEY LN
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2863
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Country | US
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Telephone | 205-333-8222
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Fax | 205-333-8233
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Provider Business Mailing Address
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Address Line | 2922 HARBOR RIDGE WAY
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City | TUSCALOOSA
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State | AL
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Zip | 35406-4008
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Country | US
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Telephone | 205-331-9731
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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 | A246
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License Number State | AL
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