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General NPI Number Information
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NPI Number | 1831601277
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Entity Type | Organization
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Legal Business Name | CHILD ADOLESCENT PARTNERS LLC
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 10/25/2017
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Provider Practice Location Address
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Address Line | 4898 VALLEYDALE RD STE A1
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City | BIRMINGHAM
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State | AL
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Zip | 35242-4661
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Country | US
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Telephone | 205-492-2426
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Fax |
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Provider Business Mailing Address
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Address Line | 4898 VALLEYDALE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35242-4654
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | BETH MANN
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Credential |
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Telephone | 205-492-2426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2307
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License Number State | AL
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