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General NPI Number Information
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NPI Number | 1952466856
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Entity Type | Individual
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Provider Name | DEANA MICHELLE HOLLAWAY PHD, NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | 4800 WHITESPORT CIR SW STE 2
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6443
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Country | US
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Telephone | 256-533-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 15009 COLLIER DR SE
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City | HUNTSVILLE
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State | AL
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Zip | 35803-3689
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Country | US
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Telephone | 256-777-1870
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1417
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License Number State | AL
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