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General NPI Number Information
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NPI Number | 1205904711
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Entity Type | Organization
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Legal Business Name | MOUNTAIN REGIONAL ARTHRITIS CENTER, PA
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2 MEDICAL PARK DR SUITE 700
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City | ASHEVILLE
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State | NC
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Zip | 28803
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Country | US
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Telephone | 828-277-5030
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Fax | 828-258-7035
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Provider Business Mailing Address
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Address Line | 400 LYNN COVE RD
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City | ASHEVILLE
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State | NC
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Zip | 28804-1917
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Country | US
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Telephone | 828-775-4549
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Fax | 828-258-7035
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN LOUIS MENDELSOHN
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Credential | M.D., PH.D.
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Telephone | 828-277-5030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 23612
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License Number State | NC
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