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General NPI Number Information
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NPI Number | 1992715668
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Entity Type | Individual
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Provider Name | SUE B MOULTRIE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 123 SAND MOUNTAIN DR NW
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City | ALBERTVILLE
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State | AL
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Zip | 35950-1647
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Country | US
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Telephone | 256-878-3809
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Fax | 256-878-8022
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Provider Business Mailing Address
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Address Line | 123 SAND MOUNTAIN DR., NW
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City | ALBERTVILLE
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State | AL
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Zip | 35950-0859
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Country | US
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Telephone | 256-878-3809
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Fax | 256-878-8022
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1447C
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License Number State | AL
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