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General NPI Number Information
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NPI Number | 1932740701
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Entity Type | Individual
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Provider Name | JOAN FOBBS, PHD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 3440 MARTIN ST S STE 8
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City | CROPWELL
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State | AL
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Zip | 35054-3850
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Country | US
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Telephone | 888-355-7080
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Fax | 256-615-8632
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Provider Business Mailing Address
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Address Line | 198 US HIGHWAY 278 E
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City | CULLMAN
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State | AL
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Zip | 35055-0690
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Country | US
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Telephone | 888-355-7080
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Fax | 256-615-8632
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | AL
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