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General NPI Number Information
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NPI Number | 1720215973
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Entity Type | Organization
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Legal Business Name | REBECCA L. WITHROW
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 06/15/2009
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Provider Practice Location Address
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Address Line | 33 WOODROW AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-1701
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Country | US
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Telephone | 828-253-7592
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Fax | 828-253-7592
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Provider Business Mailing Address
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Address Line | 33 WOODROW AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-1701
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Country | US
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Telephone | 828-253-7592
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Fax | 828-253-7592
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Authorized Official
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Title or Position | CBRS PROVIDER
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Name | DR. REBECCA L WITHROW
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Credential | PH.D., LPC, ITFS
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Telephone | 828-253-7592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5533
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License Number State | NC
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