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General NPI Number Information
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NPI Number | 1679910467
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Entity Type | Organization
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Legal Business Name | MISSION HOSPITAL
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 400 RIDGEFIELD CT STE 203.04
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City | ASHEVILLE
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State | NC
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Zip | 28806-2213
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Country | US
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Telephone | 828-257-7204
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Fax | 828-257-7205
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Provider Business Mailing Address
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Address Line | BOX 86, 428 BILTMORE AVE.
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City | ASHEVILLE
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State | NC
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Zip | 28801-3014
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Country | US
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Telephone | 828-257-7204
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Fax | 828-257-7205
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Authorized Official
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Title or Position | SENIOR VP FINANCE CFO
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Name | MR. CHARLES AYSCUE
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Credential |
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Telephone | 828-213-1137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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