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General NPI Number Information
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NPI Number | 1972479103
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Entity Type | Individual
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Provider Name | CAROL CRAIN MS LPT
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Gender | Female
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1449 MEDICAL PARK DR
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1901
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Country | US
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Telephone | 205-767-5438
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Fax |
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Provider Business Mailing Address
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Address Line | 60 RIDGEWOOD LN
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City | ODENVILLE
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State | AL
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Zip | 35120-4758
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Country | US
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Telephone | 205-767-5438
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 2326
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License Number State | AL
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