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General NPI Number Information
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NPI Number | 1437465739
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Entity Type | Organization
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Legal Business Name | HAYWOOD COUNTY PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 669 S HAYWOOD ST
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City | WAYNESVILLE
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State | NC
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Zip | 28786-6703
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Country | US
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Telephone | 828-586-2311
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Fax | 828-586-5450
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Provider Business Mailing Address
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Address Line | PO BOX 728
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City | SYLVA
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State | NC
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Zip | 28779-0728
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Country | US
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Telephone | 828-586-2311
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Fax | 828-586-5450
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | DEBBIE DOUTHIT
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Credential |
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Telephone | 828-586-2311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 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 #4
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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 #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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