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General NPI Number Information
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NPI Number | 1982921763
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Entity Type | Individual
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Provider Name | TERRA SHARRON GRIFFIN LPC
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Gender | Female
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 500 SOUTHLAND DR STE 232
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City | VESTAVIA
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State | AL
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Zip | 35226-3735
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Country | US
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Telephone | 205-260-1014
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Fax |
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Provider Business Mailing Address
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Address Line | 2532 OAKLEAF CIR
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City | HELENA
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State | AL
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Zip | 35022-7239
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Country | US
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Telephone | 205-267-2143
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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 | 2709
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License Number State | AL
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