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General NPI Number Information
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NPI Number | 1508968975
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Entity Type | Organization
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Legal Business Name | MOUNTAIN AREA RECOVERY CENTER, INC.
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 07/19/2011
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Provider Practice Location Address
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Address Line | 414 HOSPITAL DRIVE
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City | CLYDE
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State | NC
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Zip | 28721-8026
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Country | US
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Telephone | 828-454-0560
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Fax | 828-456-8009
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 3282
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City | ASHEVILLE
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State | NC
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Zip | 28802-3282
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Country | US
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Telephone | 828-454-0560
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Fax | 828-456-8009
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Authorized Official
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Title or Position | BUSINESS MANAGER/HR ADMINISTRATOR
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Name | MS. RHONDA M. INGLE
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Credential |
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Telephone | 828-252-8748
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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 | MHL-044-043
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License Number State | NC
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