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General NPI Number Information
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NPI Number | 1821810839
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Entity Type | Individual
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Provider Name | TATE S DREW LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 705 COBB ST
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City | HOMEWOOD
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State | AL
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Zip | 35209-6514
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Country | US
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Telephone | 205-210-8222
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Fax |
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Provider Business Mailing Address
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Address Line | 706 LAUREL WOODS KNL
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City | HELENA
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State | AL
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Zip | 35080-3935
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Country | US
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Telephone | 334-296-7499
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 4166G
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License Number State | AL
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