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General NPI Number Information
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NPI Number | 1194167213
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Entity Type | Organization
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Legal Business Name | AGCR PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 1100 TUNNEL RD
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City | ASHEVILLE
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State | NC
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Zip | 28805-2576
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Country | US
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Telephone | 713-922-5339
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Fax | 833-563-0463
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Provider Business Mailing Address
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Address Line | PO BOX 1458
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City | SKYLAND
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State | NC
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Zip | 28776
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Country | US
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Telephone | 713-922-5339
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LISA ROBINSON
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Credential | PH.D.
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Telephone | 713-922-5339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 32216
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License Number State | TX
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