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General NPI Number Information
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NPI Number | 1881196418
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Entity Type | Organization
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Legal Business Name | RESPONDER SUPPORT SERVICES
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 204 CHARLOTTE HWY STE E
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City | ASHEVILLE
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State | NC
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Zip | 28803-8681
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Country | US
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Telephone | 828-333-5708
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Fax | 838-484-1025
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Provider Business Mailing Address
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Address Line | 107 HIGH LAKE DR
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City | NEBO
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State | NC
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Zip | 28761-9421
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Country | US
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Telephone | 828-779-0544
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD MICHAEL BAKER
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Credential | MA, LPCS
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Telephone | 828-779-0544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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