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NPI 1871237701

NPI 1871237701 : ALABAMA TOMBIGBEE REGIONAL COMMISSION : CAMDEN, AL

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General NPI Number Information
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    NPI Number           |    1871237701
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALABAMA TOMBIGBEE REGIONAL COMMISSION 
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Dates
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    Enumeration Date     |    04/26/2022
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    Last Update Date     |    04/26/2022
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Provider Practice Location Address
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    Address Line         |    107 BROAD ST 
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    City                 |    CAMDEN
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    State                |    AL
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    Zip                  |    36726-1701
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    Country              |    US
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    Telephone            |    334-682-4234
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    Fax                  |    334-682-9851
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Provider Business Mailing Address
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    Address Line         |    107 BROAD ST 
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    City                 |    CAMDEN
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    State                |    AL
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    Zip                  |    36726-1701
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    Country              |    US
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    Telephone            |    334-682-4234
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    Fax                  |    334-682-9851
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     JOHN CLYDE RIGGS 
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    Credential           |    
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    Telephone            |    334-682-4234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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