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General NPI Number Information
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NPI Number | 1962346163
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Entity Type | Organization
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Legal Business Name | NEW SEASON
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 2500 4TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2521
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Country | US
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Telephone | 856-630-8158
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Fax |
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Provider Business Mailing Address
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Address Line | 308 BRANDY LN
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City | HARPERSVILLE
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State | AL
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Zip | 35078-5313
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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 | SUBSTANCE THERAPIST
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Name | TAYA AMANI RANDALL
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Credential | MSW
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Telephone | 856-630-8158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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