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General NPI Number Information
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NPI Number | 1811710981
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Entity Type | Individual
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Provider Name | ROBERT TANDY WELLS LCMHCA
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Gender | Male
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 54 RAVENSCROFT DR
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City | ASHEVILLE
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State | NC
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Zip | 28801-3637
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Country | US
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Telephone | 828-423-0232
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Fax | 828-579-4258
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Provider Business Mailing Address
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Address Line | 20 BELLHAVEN RD
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City | ASHEVILLE
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State | NC
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Zip | 28805-1502
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Country | US
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Telephone | 828-719-6910
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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 | A18826
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License Number State | NC
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