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General NPI Number Information
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NPI Number | 1790109924
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Entity Type | Individual
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Provider Name | LISA KIM MCCALEB M.S., L.P.C
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Gender | Female
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 119 TUNNEL RD SUITE D
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City | ASHEVILLE
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State | NC
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Zip | 28805-1869
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Country | US
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Telephone | 828-350-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19584
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City | ASHEVILLE
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State | NC
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Zip | 28815-1584
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Country | US
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Telephone | 828-691-3624
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 7526
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License Number State | NC
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