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NPI 1942040142

NPI 1942040142 : EMILY COX-OLDHAM ALC : BIRMINGHAM, AL

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General NPI Number Information
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    NPI Number           |    1942040142
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY COX-OLDHAM ALC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/28/2024
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    Last Update Date     |    06/14/2024
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Provider Practice Location Address
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    Address Line         |    2401 ARLINGTON AVE S 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35205-4113
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    Country              |    US
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    Telephone            |    205-933-0041
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1200 OAKS DR APT 319 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35209-6996
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    Country              |    US
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    Telephone            |    
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    ALC04864
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    License Number State |    AL
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