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General NPI Number Information
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NPI Number | 1003963455
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Entity Type | Individual
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Provider Name | ADA CELESTE KHOURY MD
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 12 1/2 WALL ST SUITE Q
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City | ASHEVILLE
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State | NC
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Zip | 28801-2724
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Country | US
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Telephone | 828-645-0046
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Fax | 828-645-9584
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Provider Business Mailing Address
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Address Line | PO BOX 646
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City | WEAVERVILLE
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State | NC
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Zip | 28787-0646
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Country | US
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Telephone | 828-645-0046
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Fax | 828-645-9584
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 38526
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License Number State | NC
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