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General NPI Number Information
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NPI Number | 1407370661
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Entity Type | Organization
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Legal Business Name | ASHEVILLE INTEGRATED BEHAVIORAL HEALTH, PC
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 11/24/2017
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Provider Practice Location Address
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Address Line | 30 CLAYTON ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-2424
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Country | US
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Telephone | 828-423-0537
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Fax | 828-333-4362
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Provider Business Mailing Address
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Address Line | 186 CISCO RD
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City | ASHEVILLE
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State | NC
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Zip | 28805-1339
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Country | US
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Telephone | 828-337-6100
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. WILLIAM HAMILTON
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Credential | PHD
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Telephone | 828-423-0537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0502
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License Number State | NC
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