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General NPI Number Information
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NPI Number | 1962160887
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Entity Type | Organization
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Legal Business Name | ALJ WELLNESS PLLC
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Dates
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Enumeration Date | 12/08/2021
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 19265 TRIPLE CROWN DR
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City | ABINGDON
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State | VA
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Zip | 24211-6667
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Country | US
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Telephone | 843-892-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 448 CUMMINGS ST STE 199
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City | ABINGDON
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State | VA
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Zip | 24210-3220
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Country | US
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Telephone | 843-892-9393
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | DR. ASHLEY JUSTINE HUFFMAN
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Credential | DBH, CCTP-II, LMFT
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Telephone | 843-892-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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