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General NPI Number Information
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NPI Number | 1194302901
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Entity Type | Organization
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Legal Business Name | APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE INC
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 432 HOSPITAL DR
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City | LINVILLE
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State | NC
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Zip | 28646
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Country | US
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Telephone | 828-262-4133
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Fax | 828-262-4103
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Provider Business Mailing Address
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Address Line | PO BOX 2600
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City | BOONE
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State | NC
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Zip | 28607-2600
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Country | US
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Telephone | 828-262-4133
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Fax |
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Authorized Official
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Title or Position | SVP MEDICAL STAFF RELATIONS
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Name | MARY E LONG
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Credential |
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Telephone | 828-262-4133
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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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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