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General NPI Number Information
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NPI Number | 1013212752
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Entity Type | Organization
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Legal Business Name | MOUNTAIN IN HOME COUNSELING
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 49 VIRGINIA AVE
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City | ASHEVILLE
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State | NC
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Zip | 28806-3215
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Country | US
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Telephone | 704-797-1657
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Fax |
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Provider Business Mailing Address
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Address Line | 49 VIRGINIA AVE
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City | ASHEVILLE
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State | NC
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Zip | 28806-3215
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Country | US
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Telephone | 704-797-1657
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WENDY OLSEN
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Credential | M. ED
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Telephone | 704-797-1657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 7520
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License Number State | NC
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