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General NPI Number Information
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NPI Number | 1639246846
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Entity Type | Organization
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Legal Business Name | MOUNTAIN PSYCHOLOGICAL SERVICES, PA
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 25 ORANGE ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-2328
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Country | US
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Telephone | 828-285-9911
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Fax |
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Provider Business Mailing Address
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Address Line | 46 WOODVALE AVE
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City | ASHEVILLE
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State | NC
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Zip | 28804-3536
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Country | US
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Telephone | 828-285-9911
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL E FLEISCHER
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Credential | PSY.D.
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Telephone | 828-285-9911
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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 | 2661
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License Number State | NC
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