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General NPI Number Information
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NPI Number | 1568442754
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Entity Type | Organization
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Legal Business Name | GROVE CLINIC PSYCHOLOGICAL ASSOCIATES PA
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 33 WESTWIND DR
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-8716
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Country | US
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Telephone | 828-274-2221
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Fax | 828-274-2226
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Provider Business Mailing Address
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Address Line | PO BOX 5115
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City | ASHEVILLE
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State | NC
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Zip | 28813-5115
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Country | US
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Telephone | 828-274-2221
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Fax | 828-274-2226
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | BARBARA WEST LEA
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Credential | PHD
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Telephone | 828-274-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | NC
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