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General NPI Number Information
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NPI Number | 1669555926
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Entity Type | Individual
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Provider Name | LESLIE ALBERT SMART III LPC
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 50 REDDICK RD
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City | ASHEVILLE
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State | NC
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Zip | 28805-2717
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Country | US
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Telephone | 828-775-1242
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Fax | 828-298-2870
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Provider Business Mailing Address
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Address Line | 34 ROCKY RIDGE RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-2224
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Country | US
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Telephone | 828-775-1242
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Fax | 828-298-4870
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5145
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License Number State | NC
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