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General NPI Number Information
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NPI Number | 1871260620
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Entity Type | Organization
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Legal Business Name | ASHEVILLE DBT & TRAUMA, PLLC
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 75 CHURCH ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-3623
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Country | US
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Telephone | 828-708-9955
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Fax |
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Provider Business Mailing Address
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Address Line | 75 CHURCH ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-3623
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Country | US
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Telephone | 828-708-9955
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. REBECCA ELAINE COX GRANDA
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Credential | MSED, PHD
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Telephone | 305-431-4775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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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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