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General NPI Number Information
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NPI Number | 1124893342
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Entity Type | Organization
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Legal Business Name | RUTHERFORD MENTAL WELLNESS, PLLC
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 214 CHARLOTTE RD
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City | RUTHERFORDTON
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State | NC
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Zip | 28139-2914
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Country | US
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Telephone | 828-447-2253
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Fax | 828-372-4642
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Provider Business Mailing Address
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Address Line | 214 CHARLOTTE RD
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City | RUTHERFORDTON
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State | NC
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Zip | 28139-2914
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Country | US
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Telephone | 828-447-2253
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | SHANNON JONES
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Credential | PMHNP-BC
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Telephone | 828-447-2253
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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 |
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License Number State |
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