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General NPI Number Information
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NPI Number | 1700802600
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Entity Type | Organization
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Legal Business Name | THE PISGAH INSTITUTE FOR PSYCHOTHERAPY & EDUCATION, P.A.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 158 ZILLICOA ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-1079
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Country | US
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Telephone | 828-254-9494
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Fax | 828-250-0890
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Provider Business Mailing Address
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Address Line | 158 ZILLICOA ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-1079
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Country | US
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Telephone | 828-254-9494
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Fax | 828-250-0890
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM DAVID BARLEY
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Credential | PH.D.
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Telephone | 828-254-9494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 56958
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License Number State | NC
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