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General NPI Number Information
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NPI Number | 1881316164
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Entity Type | Organization
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Legal Business Name | A HEALING PLACE BHAM LLC
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 1025 23RD ST S STE 381
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City | BIRMINGHAM
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State | AL
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Zip | 35205-2499
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Country | US
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Telephone | 205-224-2115
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 13TH AVE S APT A
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City | BIRMINGHAM
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State | AL
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Zip | 35205-5590
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Country | US
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Telephone | 205-224-2115
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALYSSA SHEDLARSKI
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Credential | DPT
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Telephone | 205-224-2115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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