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General NPI Number Information
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NPI Number | 1871870063
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Entity Type | Organization
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Legal Business Name | R.E.A.C.H OF ASHEVILLE
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 677 BREVARD RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-2229
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Country | US
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Telephone | 828-665-4399
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Fax |
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Provider Business Mailing Address
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Address Line | 677 BREVARD RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-2229
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RANDOLPH WETZEL
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Credential |
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Telephone | 828-665-4399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4784
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License Number State | NC
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