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General NPI Number Information
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NPI Number | 1356393284
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Entity Type | Organization
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Legal Business Name | THREE STREAMS FAMILY HEALTH CARE CENTER, INC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 11/05/2010
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Provider Practice Location Address
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Address Line | 1710 OLD HAYWOOD RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-1154
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Country | US
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Telephone | 828-285-9725
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Fax | 828-285-9762
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Provider Business Mailing Address
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Address Line | 1710 OLD HAYWOOD RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-1154
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Country | US
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Telephone | 828-285-9725
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Fax | 828-285-9762
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | GERI L SPANGLER
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Credential |
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Telephone | 828-285-9725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 33789
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License Number State | NC
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