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NPI 1013086255

NPI 1013086255 : ELIZABETH SARAH CONDER PH.D. : ASHEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1013086255
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH SARAH CONDER PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/06/2006
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    Last Update Date     |    02/28/2019
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Provider Practice Location Address
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    Address Line         |    1 OAK PLZ SUITE 206
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28801-3008
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    Country              |    US
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    Telephone            |    828-252-2501
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    Fax                  |    828-252-2701
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Provider Business Mailing Address
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    Address Line         |    1 OAK PLZ STE 208 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28801-3000
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    Country              |    US
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    Telephone            |    828-575-9760
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    Fax                  |    828-575-9761
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    1849
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    1849
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    License Number State |    NC
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