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General NPI Number Information
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NPI Number | 1386682367
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Entity Type | Organization
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Legal Business Name | EAST ASHEVILLE FAMILY HEALTH CARE P.A.
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 997 OLD US HWY 70 W STE A
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-4505
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Country | US
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Telephone | 828-298-7981
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Fax | 828-298-6010
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Provider Business Mailing Address
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Address Line | 997 OLD US HWY 70 W STE A
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-4505
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Country | US
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Telephone | 828-298-7981
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Fax | 828-298-6010
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Authorized Official
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Title or Position | OWNER
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Name | BRENDA CHERYL FORE
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Credential | NP
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Telephone | 828-298-7981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 87151
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License Number State | NC
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