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General NPI Number Information
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NPI Number | 1568241412
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Entity Type | Individual
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Provider Name | KENNETH DUNN CADC, PSS, CRS
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Gender | Male
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 2 MCDOWELL ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-4104
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Country | US
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Telephone | 828-225-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 59 HEAVENLY LN
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City | FAIRVIEW
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State | NC
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Zip | 28730-8695
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Country | US
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Telephone | 828-793-3733
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | M2023-10648-01
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CADC-30848
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License Number State | NC
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