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General NPI Number Information
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NPI Number | 1932202173
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Entity Type | Individual
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Provider Name | SANDRA C. REDDEN DR.
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 15 OFFICE PARK CIRCLE SUITE 140
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City | BIRMINGHAM
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State | AL
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Zip | 35223
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Country | US
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Telephone | 205-523-8219
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Fax | 205-523-8219
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Provider Business Mailing Address
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Address Line | 15 OFFICE PARK CIRCLE SUITE 104
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City | BIRMINGHAM
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State | AL
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Zip | 35223
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Country | US
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Telephone | 205-523-8219
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Fax | 205-523-8219
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 1147
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 1147
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License Number State | AL
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