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General NPI Number Information
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NPI Number | 1912485145
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Entity Type | Organization
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Legal Business Name | UPSHAW & ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 661 HELEN KELLER BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35404-2963
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Country | US
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Telephone | 205-344-6169
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Fax | 205-344-6171
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Provider Business Mailing Address
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Address Line | PO BOX 70162
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City | TUSCALOOSA
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State | AL
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Zip | 35407-0162
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Country | US
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Telephone | 205-523-4941
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | DR. APRIL J. UPSHAW
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Credential | PH.D., SLPC
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Telephone | 205-523-4941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 2779
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License Number State | AL
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