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General NPI Number Information
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NPI Number | 1134401417
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Entity Type | Organization
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Legal Business Name | LINDA S. WILSON, PHD, PLLC
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 1011 TUNNEL RD STE 240
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City | ASHEVILLE
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State | NC
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Zip | 28805-2060
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Country | US
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Telephone | 828-215-0589
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Fax | 828-412-0282
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Provider Business Mailing Address
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Address Line | 1011 TUNNEL RD STE 240
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City | ASHEVILLE
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State | NC
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Zip | 28805-2060
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Country | US
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Telephone | 828-215-0589
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Fax | 828-412-0282
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. LINDA S. WILSON
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Credential | PHD
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Telephone | 828-215-0589
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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 | 2722
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License Number State | NC
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