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General NPI Number Information
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NPI Number | 1295804557
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Entity Type | Individual
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Provider Name | PERSIS ANNE STEPIEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/13/2017
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Provider Practice Location Address
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Address Line | 220 3RD AVE W # A
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4308
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Country | US
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Telephone | 828-692-7255
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Fax | 828-692-7830
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Provider Business Mailing Address
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Address Line | 1000 OLDE EASTWOOD VILLAGE BLVD UNIT A103
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City | ASHEVILLE
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State | NC
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Zip | 28803-1779
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Country | US
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Telephone | 828-329-3339
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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 | C004582
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License Number State | NC
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