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General NPI Number Information
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NPI Number | 1891501672
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Entity Type | Individual
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Provider Name | MATALIE WALKER
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Gender | Female
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 208 JEFFERSON AVENUE
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City | BESSEMER
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State | AL
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Zip | 35020
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Country | US
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Telephone | 205-276-6864
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Fax |
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Provider Business Mailing Address
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Address Line | 5896 FLETCHER RD
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City | MC CALLA
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State | AL
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Zip | 35111-3250
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Country | US
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Telephone | 205-276-6864
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 17136
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 17136
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 17136
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License Number State | AL
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