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General NPI Number Information
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NPI Number | 1376718494
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Entity Type | Organization
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Legal Business Name | FOOTHILLS AREA PROGRAM
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 486 SPAULDING RD
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City | MARION
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State | NC
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Zip | 28752-5212
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Country | US
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Telephone | 828-652-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 115 WAMSUTTA MILL RD
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City | MORGANTON
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State | NC
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Zip | 28655-5552
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Country | US
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Telephone | 828-430-7148
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Fax |
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Authorized Official
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Title or Position | ACCOUNTING SPECIALIST III
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Name | MRS. REBECCA LYNN BROWN
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Credential |
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Telephone | 828-757-5660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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