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General NPI Number Information
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NPI Number | 1740326875
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Entity Type | Organization
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Legal Business Name | MOUNTAIN AREA RESIDENTIAL FACILITIES, INC.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 46 SAINT DUNSTANS CIR
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City | ASHEVILLE
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State | NC
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Zip | 28803
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Country | US
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Telephone | 828-254-1799
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 5514
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City | ASHEVILLE
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State | NC
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Zip | 28813
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Country | US
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Telephone | 828-299-3636
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Fax | 828-299-3302
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | AMBER LOCKLEAR
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Credential |
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Telephone | 828-299-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | MHL-011-222
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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