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General NPI Number Information
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NPI Number | 1619356136
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Entity Type | Organization
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Legal Business Name | APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 225 PATTON AVE STE 200
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City | ASHEVILLE
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State | NC
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Zip | 28801-2641
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Country | US
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Telephone | 828-412-5315
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Fax | 877-846-3861
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Provider Business Mailing Address
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Address Line | PO BOX 100181
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City | COLUMBIA
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State | SC
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Zip | 29202-3141
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Country | US
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Telephone | 828-202-5200
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Fax | 828-479-2917
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Authorized Official
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Title or Position | DATA ANALYTICS MANAGER
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Name | BROOKE WELLS TERBEEK
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Credential |
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Telephone | 828-202-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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