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General NPI Number Information
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NPI Number | 1942593579
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Entity Type | Organization
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Legal Business Name | FRY BEHAVIORAL HEALTH, P.C.
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 3125 INDEPENDENCE DR SUITE 307
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City | BIRMINGHAM
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State | AL
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Zip | 35209-4159
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Country | US
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Telephone | 205-803-3800
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Fax | 205-803-3803
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Provider Business Mailing Address
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Address Line | 3125 INDEPENDENCE DR SUITE 307
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City | BIRMINGHAM
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State | AL
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Zip | 35209-4159
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Country | US
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Telephone | 205-803-3800
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Fax | 205-803-3803
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. RACHEL B FRY
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Credential | PH.D.
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Telephone | 205-803-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1383
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License Number State | AL
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