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General NPI Number Information
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NPI Number | 1265630347
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Entity Type | Individual
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Provider Name | AMPARO PENNY LCMHC
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Gender | Female
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 1 VILLAGE LN STE 3
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City | ASHEVILLE
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State | NC
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Zip | 28803-2617
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Country | US
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Telephone | 828-708-9955
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Fax |
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Provider Business Mailing Address
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Address Line | 4032 DUTCH COVE RD
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City | CANTON
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State | NC
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Zip | 28716-9183
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Country | US
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Telephone | 919-522-2498
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6616
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License Number State | NC
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