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General NPI Number Information
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NPI Number | 1679606883
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Entity Type | Organization
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Legal Business Name | COOPERRIIS CRA
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 85 ZILLICOA ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-1038
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Country | US
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Telephone | 828-771-9001
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Fax |
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Provider Business Mailing Address
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Address Line | 101 HEALING FARM LANE
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City | MILL SPRING
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State | NC
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Zip | 28756
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Country | US
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Telephone | 828-894-5557
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Fax | 844-965-9530
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ERIC LEVINE
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Credential | ED.D
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Telephone | 828-894-5557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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