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General NPI Number Information
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NPI Number | 1174644827
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Entity Type | Individual
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Provider Name | MARK ANDREW HIGHSMITH PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 932 OLD US HWY 70 W BLACK MOUNTAIN CENTER
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-2547
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Country | US
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Telephone | 828-669-3289
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Fax |
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Provider Business Mailing Address
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Address Line | 4 ALPINE WAY
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City | SWANNANOA
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State | NC
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Zip | 28778-2302
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Country | US
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Telephone | 828-686-1704
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Fax |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3226
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License Number State | NC
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